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Articles 1 - 30 of 61
Full-Text Articles in Medicine and Health Sciences
Situation Awareness Preparation And Prebriefing: Fostering The Cognitve Processes Of Thinking Like A Nurse In Simulation, Amanda Lynn Potter
Situation Awareness Preparation And Prebriefing: Fostering The Cognitve Processes Of Thinking Like A Nurse In Simulation, Amanda Lynn Potter
Dissertations (1934 -)
Situation awareness (SA) is linked with actionable decision-making and clinical judgment in nursing practice. The cognitive processes used in developing SA, outlined in Endsley’s (1995) model, is the framework underpinning this study and are interwoven into the National Council of State Boards of Nursing Clinical Judgment Measurement Model (NCJMM). Cultivating these cognitive processes through prebriefing and simulation designed to intentionally develop SA, is a recommended practice currently seen in aviation and military training. There is a lack of vigorous research testing whether a specific intervention during clinical simulation can develop SA in nursing students. In addition, fostering SA in the …
Application Of The Social Determinants Of Health To Geriatric Patients By Nurse Practitioner Students, Theresa Marie Gruenke Schnable
Application Of The Social Determinants Of Health To Geriatric Patients By Nurse Practitioner Students, Theresa Marie Gruenke Schnable
Dissertations (1934 -)
ABSTRACT APPLICATION OF THE SOCIAL DETERMINANTS OF HEALTH TO GERIATRIC PATIENTS BY NURSE PRACTITIONER STUDENTS Patient outcomes are influenced by the social determinants of health (SDOH), which influence differing exposures to opportunities or health risks. Holistic care of geriatric patients includes considering SDOH in patient assessment, diagnosis, and care delivery. Understanding how NP students care for geriatric patients using a SDOH lens provides insight into their practice behaviors and helps educators understand how to strengthen NP programs to achieve better patient outcomes and advance health equity for the geriatric population. The purpose of this study was to describe how NP …
Why We Work: Exploring The Relationships Between Work Rewards, Burnout, And Intention To Leave For Professional Nurses, Jacqueline Christianson
Why We Work: Exploring The Relationships Between Work Rewards, Burnout, And Intention To Leave For Professional Nurses, Jacqueline Christianson
Dissertations (1934 -)
Nurse burnout leads to attrition from hospital nursing positions and the nursing profession prior to typical retirement age. Yet some nurses choose to stay despite burnout. Previous research indicates that nurses stay due to the rewards they receive from work but the relationships between different types of work rewards, work-related burnout, and intention to leave are poorly described. The ability to implement or execute altruistic behaviors may also represent an under-recognized work reward. Thus, the purpose of this study is to investigate the relationships between work rewards, work-related burnout, and intention to leave nursing positions and the nursing profession and …
Examining Relationships Among Nursing Students' Views Of Suffering, Positive Thinking, And Professional Quality Of Life, Ruth Anne Engbers
Examining Relationships Among Nursing Students' Views Of Suffering, Positive Thinking, And Professional Quality Of Life, Ruth Anne Engbers
Dissertations (1934 -)
Despite the association between nursing students’ exposure to suffering and the development of compassion fatigue, little research exists regarding promoting nursing students’ adaptation to caring for suffering patients and families. As a possible nursing shortage is projected, it is imperative to better understand the factors that impact this adaptation to ensure that nursing students can successfully transition into their nursing role. Although beliefs about the reasons for human suffering affect their ability to cope with their exposure to the suffering of others, there is no empirical data regarding nursing students’ views of suffering. Nursing students also report using positive reframing …
Exploring Relationships Between Depression Self-Stigma And Trust In Primary Care Provider On Willingness To Seek Help, Tana Karenke
Exploring Relationships Between Depression Self-Stigma And Trust In Primary Care Provider On Willingness To Seek Help, Tana Karenke
Dissertations (1934 -)
Depression is a mood disorder characterized by persistent feelings of sadness and/or loss of interest that effects an individual’s ability to carry out day-to-day activities. Depression can diminish one’s social functioning, interpersonal relationships, personal care, and work productivity. Despite the availability of various treatments for depression, roughly 34% of people suffering from depression symptoms do not seek treatment. Significant barriers for seeking help for depression symptoms include the stigma of mental illness and a lack of trust in healthcare providers; however, there is a paucity of research exploring the relationship between mental illness stigma and the role of trust in …
The Impact Of Nutrition Literacy And Neighborhood On Diet Quality In The Mexican Origin Population, Sylvia Pena
The Impact Of Nutrition Literacy And Neighborhood On Diet Quality In The Mexican Origin Population, Sylvia Pena
Dissertations (1934 -)
Introduction: Diet quality is a critical component in achieving optimal health outcomes. A poor diet can lead to various health complications including obesity, heart disease, and diabetes. Hispanic individuals have been found to have higher rates of obesity; therefore, it is critical that variables impacting diet quality be examined in this population. Available literature concerning nutrition literacy, neighborhood and diet quality have not been specific to subgroups of the Hispanic population, therefore, identifying how these factors influence the Mexican origin population is needed. The aim of this dissertation was to better understand the impact of nutrition literacy and neighborhood on …
Processes Used By Mothers In Opioid Recovery To Manage The Needs Of The Maternal-Infant Dyad: A Grounded Theory Study, Nicole M. Mattson
Processes Used By Mothers In Opioid Recovery To Manage The Needs Of The Maternal-Infant Dyad: A Grounded Theory Study, Nicole M. Mattson
Dissertations (1934 -)
Maternal opioid use during pregnancy and the postpartum period has significant impact on the mother and infant. Maternal well-being and early maternal-infant contact can impact the early attachment and bonding of the dyad. Additionally, the stigma surrounding opioid use in pregnancy can have detrimental effects on the dyad during pregnancy and in the postpartum period. Theory driven nursing interventions to promote mother-infant dyadic care for pairs impacted by maternal opioid use disorder (OUD) are needed. First, it was necessary to understand the current processes used by mothers with OUD to manage the unique needs of their dyad. The purpose of …
Processes Used By Mothers In Opioid Recovery To Manage The Needs Of The Maternal-Infant Dyad: A Grounded Theory Study, Nicole M. Mattson
Processes Used By Mothers In Opioid Recovery To Manage The Needs Of The Maternal-Infant Dyad: A Grounded Theory Study, Nicole M. Mattson
Dissertations (1934 -)
Maternal opioid use during pregnancy and the postpartum period has significant impact on the mother and infant. Maternal well-being and early maternal-infant contact can impact the early attachment and bonding of the dyad. Additionally, the stigma surrounding opioid use in pregnancy can have detrimental effects on the dyad during pregnancy and in the postpartum period. Theory driven nursing interventions to promote mother-infant dyadic care for pairs impacted by maternal opioid use disorder (OUD) are needed. First, it was necessary to understand the current processes used by mothers with OUD to manage the unique needs of their dyad. The purpose of …
Direct And Non-Invasive Monitoring Of Battery Internal State Via Novel Gmi-Idt Magnetic Sensor, Akila Khatun
Direct And Non-Invasive Monitoring Of Battery Internal State Via Novel Gmi-Idt Magnetic Sensor, Akila Khatun
Dissertations (1934 -)
Efficient battery management systems (BMSs) in rechargeable battery-based systems require precise measurements of various battery parameters including state of charge (SOC), state of health (SOH) and charge capacity. Presently, SOC, charge capacity and SOH can only be indirectly inferred from long-term measurement of current, open circuit voltage (OCV), and temperature using multiple sensors. These techniques can only give an approximation of SOC and often require knowledge of the recent battery history to prevent excessive inaccuracy.To improve the performance of the BMS, an alternative method of monitoring the internal state of Li-ion batteries is presented here. Theoretical analysis of Li-ion batteries …
Securing Nasogastric Tubes In Children, Julie Ann Lavoie
Securing Nasogastric Tubes In Children, Julie Ann Lavoie
Dissertations (1934 -)
Nasogastric tubes (NGTs) are commonly placed in children at risk for malnutrition in order to provide temporary nutrition support until the child achieves independent oral feedings or requires durable tube placement. Accurate securement of NGTs is necessary to safely provide nutrition, particularly in infants and toddlers who are at highest risk for dislodging their NGT. Dislodgement of an NGT has a cascade effect on the medical management, requiring increased exposure to the healthcare system with every replacement. Nasal bridles are widely used to secure NGTs in adults but are not widely used with children. The purpose of this retrospective, correlational …
Pregnant Women's Experiences With Gastrointestinal Discomforts And Strategies They Use To Cope, Heidi Jo Paquette
Pregnant Women's Experiences With Gastrointestinal Discomforts And Strategies They Use To Cope, Heidi Jo Paquette
Dissertations (1934 -)
Problem The experience of gastrointestinal (GI) discomforts of pregnancy is almost universal. Heartburn, constipation, nausea and/or vomiting are the most common, with variation in frequency and intensity by trimester. GI discomforts of pregnancy are understudied. Most research on GI discomforts of pregnancy has employed quantitative instruments, before and after specific therapeutic approaches. Little research has focused on women’s experiences of GI discomforts of pregnancy and self-management strategies. Women are experts in their experience of their own pregnancies and their voices are rich sources of data, but have been largely ignored in the study of GI discomforts of pregnancy. Methodology The …
Examining The Relationship Of Physical Activity, Inflammation & Adiposity On Physical Function With Gender Differences, Jeanne Hlebichuk
Examining The Relationship Of Physical Activity, Inflammation & Adiposity On Physical Function With Gender Differences, Jeanne Hlebichuk
Dissertations (1934 -)
Older adults are a rapidly growing segment of the population in the United States. The ability to maintain physical function declines with age and is a critical factor that contributes to living independently. Physical activity has been shown to slow declines in physical function and decrease chronic inflammation. Increases in adipose tissue and decreases in muscle mass are associated with aging. The increase in adipose tissue produces inflammatory markers that can negatively impact older adults’ health. Males and females’ biological changes with aging have been hypothesized to differ. The purposes of this study were to :1) examine the relationship between …
Experiences Of Exclusively Expressing Breast Milk For Term Infants: A Qualitative Analysis, Lisa Anders
Experiences Of Exclusively Expressing Breast Milk For Term Infants: A Qualitative Analysis, Lisa Anders
Dissertations (1934 -)
Breast milk feeding has numerous benefits for women and infants. Although positive maternal experiences with breast milk feeding impacts exclusivity, duration, and maternal mental health, most research focuses on women feeding directly at the breast. Breast milk can also be expressed and bottle-fed to the infant. This practice is encouraged in instances of maternal-infant separation or in cases of prematurity. However, there is an increasing number of women electing to feed exclusively expressed breast milk to term infants rather than feed directly at the breast. Little is known about what constitutes a positive, or salutary breastfeeding, experience in this population. …
Effectiveness Of A Postpartum Breastfeeding Protocol For Avoiding Pregnancy And Descriptive Analysis Of The Physiology Of The Postpartum Transition, Mary Schneider
Dissertations (1934 -)
Traditionally, postpartum breastfeeding women used Natural Family Planning (NFP) methods that required observation of cervical mucus and basal body temperature as indicators of return to fertility. These indicators resulted in high unintended pregnancy rates (i.e., 14-32 over 12 months of use). High pregnancy rates were due to the inaccuracy and subjectivity of those fertility indicators which required extended periods of abstinence. Ineffectiveness of NFP methods is also related to changing patterns of fertility during lactation amenorrhea (LA) and the first six menstrual cycles postpartum.Studies of a NFP protocol where women used objective urine hormone biomarkers were 92-98% effective for …
Examining Social Factors In Self-Management For Older Adults Living Alone, Margaret Salinas
Examining Social Factors In Self-Management For Older Adults Living Alone, Margaret Salinas
Dissertations (1934 -)
Older adults living alone are a rapidly growing and often vulnerable segment of the population. Patient activation is an established predictor of self-management engagement, ability, and behaviors, and may be impacted by many factors, including social factors such as loneliness, social isolation, and neighborhood conditions. However, relationships among these social factors and environmental factors and patient activation are unclear. Using the Individual and Family Self-Management Theory, the purpose of this cross-sectional study was to examine the factor structure and bivariate correlations of loneliness, social isolation, neighborhood conditions and to test the effect of these factors on patient activation using self-efficacy …
Understanding The Requisite Content For Interprofessional Education On Sentinel Injuries, A Qualitative Study, Elizabeth A. Cleek
Understanding The Requisite Content For Interprofessional Education On Sentinel Injuries, A Qualitative Study, Elizabeth A. Cleek
Dissertations (1934 -)
Child maltreatment is a public health concern in the United States. The consequences of child maltreatment pose both immediate and lifelong health threats to victimized children. Given the health consequences of child maltreatment, health care providers (HCPs) are legally required to report any reasonable suspicion of child maltreatment to child protective services (CPS). Sentinel injuries (SIs) are some of the earliest and most readily identifiable red flags of child maltreatment. SIs are any unexpected bruising or intra-oral injuries in non-mobile infants. SIs are highly correlated with child maltreatment and may be the only sign of child maltreatment in an otherwise …
Leading Rural Nurse Academic Progression, Cynthia Jean Larsen
Leading Rural Nurse Academic Progression, Cynthia Jean Larsen
Dissertations (1934 -)
Higher levels of nurse education have been associated with improved patient outcomes and lower healthcare costs. Members of rural populations are vulnerable, having poorer outcomes than urban inhabitants on a number of health indicators. Rural nurses are more likely than urban nurses to enter practice with associates degrees. Hence, academic progression is important for rural nurses and for the health of rural patients and communities. Rural nurse leaders work to promote the academic progression of rural nurses. Grounded theory methodology was used in this study to describe the concerns of and the actions taken by nurse leaders in the promotion …
Modeling Heart Failure Predictive Mortality In Skilled Nursing Facilities, Stephen Charles Biondi
Modeling Heart Failure Predictive Mortality In Skilled Nursing Facilities, Stephen Charles Biondi
Dissertations (1934 -)
Problem: Approximately 25% of skilled nursing facility (SNF) patients are diagnosed with heart failure (HF). The heart failure mortality trajectory is non-linear and there are no useable mortality models from clinical records for use by healthcare providers in the SNF setting. A mortality risk model for patients with HF is important so that palliative care interventions may be offered to improve patients’ quality of life during the end stages of dying. Assessment items captured routinely by the SNF Resident Assessment Instrument –Minimum Data Set 3.0 (RAI-MDS) instrument may be useful in identifying those patients whose declining condition warrants discussion of …
Understanding Baccalaureate Nursing Education Progression From The Student Perspective Using A Grounded Theory Approach, Jennifer Jean Dahlman
Understanding Baccalaureate Nursing Education Progression From The Student Perspective Using A Grounded Theory Approach, Jennifer Jean Dahlman
Dissertations (1934 -)
National data provides evidence there is a significant gap between the number of first-generation college students (FGCs) and members of underrepresented minority groups (URMs) who are enrolling in baccalaureate programs of nursing (BSN) and those that persist beyond graduation and become members of the nursing workforce. There is a need to graduate more underrepresented student populations from BSN programs and understanding their progression through baccalaureate education can inform our efforts to support them. The purpose of this study was to explore and understand the needs of FGCs and URMs enrolled in BSN programs and to use online mentoring as a …
Measuring Polyvictimization Among Vulnerable Children: A Confirmatory Factor Analysis, Kelli J. Jones
Measuring Polyvictimization Among Vulnerable Children: A Confirmatory Factor Analysis, Kelli J. Jones
Dissertations (1934 -)
The purpose of this study was to test the pathways to polyvictimization model, a conceptual model developed by Dr. David Finkelhor, as an accurate measure of victimization among children in fragile families. Polyvictimization is the simultaneous, accumulative exposure to multiple forms of victimization. Finkelhor’s pathways to polyvictimization model consisted of four hypothesized pathways to becoming polyvictimized. The four pathways include a) residing in a dangerous community, b) living in a dangerous family, c) having a chaotic, multi-problem family environment, and d) the child has emotional or behavioral problems that increase risk behavior, engender antagonism, and compromise the capacity to protect …
Identifying A History Of Nonfatal Strangulation: What Impacts Screening By Healthcare, Law Enforcement And Advocates?, Jennifer Delwiche
Identifying A History Of Nonfatal Strangulation: What Impacts Screening By Healthcare, Law Enforcement And Advocates?, Jennifer Delwiche
Dissertations (1934 -)
Intimate partner violence (IPV) is a pervasive social epidemic in the United States, affecting as many as one in four women in their lifetime (CDC, 2010). Nonfatal strangulation (NFS) is one type of IPV, in which the application of external pressure on the neck of the victim results in interruption of blood or oxygen flow (Shields et al., 2010). Research has indicated that a history of nonfatal strangulation for victims of IPV can indicate an increased risk for worsening violence, medical complications, or death. Despite the identification of increased vulnerability for victims with a history of nonfatal strangulation, there is …
The Influence Of Continuity Of Nursing Care In The Acute Care Setting On Readiness For Discharge And Post-Discharge Return To Hospital, Sarah J. Bahr
The Influence Of Continuity Of Nursing Care In The Acute Care Setting On Readiness For Discharge And Post-Discharge Return To Hospital, Sarah J. Bahr
Dissertations (1934 -)
Background: Promoting continuity of nursing care has the potential to increase patient readiness for discharge, which has been associated with fewer readmissions and emergency department (ED) visits. The few studies that have examined nursing continuity during acute care hospitalizations did not focus on discharge or post-discharge outcomes.Objectives: The aim of this research study was to examine the association of continuity in nurse assignment to patients prior to hospital discharge with return to hospital (readmission and ED/Observation visits), including exploration of the mediating pathway through patient readiness for discharge and moderation effects of unit environment and unit nurse characteristics.Methods: …
Healthcare Provider Influence On Health Behavior Modification In Gestational Diabetics, Denise K. Fryzelka
Healthcare Provider Influence On Health Behavior Modification In Gestational Diabetics, Denise K. Fryzelka
Dissertations (1934 -)
The overall aim was to understand the process of healthcare provider influence by exploring associations between professional influence measures and patient engagement in health behavior modification in women with Gestational Diabetic Mellitus (GDM). An integrative literature review resulted in defining and developing the Healthcare Provider Influence (HPI) conceptual model based on the Integrated Theory of Health Behavior Change and Transformational Leadership theory. HPI is defined as a process wherein a purposeful interpersonal interactive, collaborative, and transformative relationship develops between a patient and a healthcare provider working together toward a specific focus of health behavior modification outcomes. Measures for testing the …
Toward Quality Preceptorship: A Dyad Sudy, Laurie Ann Kunkel-Jordan
Toward Quality Preceptorship: A Dyad Sudy, Laurie Ann Kunkel-Jordan
Dissertations (1934 -)
Problem: Approximately 70% of newly graduated nurses work in hospital settings, but their turnover rates are high, costly to employers, and due, in part, to lack of satisfaction with job orientation processes. Effective preceptorship is widely regarded as pivotal to newly graduated nurses’ successful transition to the professional nurse role; yet, the critical elements of preceptorship have not been empirically determined. Numerous researchers proffer the preceptor - newly graduated nurse interpersonal relationship as key, but preceptorship research has not been focused on this dyadic interaction. Consequently, its true impact remains unknown. Accordingly, this study addressed the following research question, “Are …
Evaluation Of Clinical Growth And Nursing Student Motivation In The Traditional Clinical Learning Environment, Jessica Barkimer
Evaluation Of Clinical Growth And Nursing Student Motivation In The Traditional Clinical Learning Environment, Jessica Barkimer
Dissertations (1934 -)
Evaluation of students in the traditional clinical learning environment is difficult. There remains a lack of standard guidelines to evaluate students using valid and reliable instruments as well as inconsistent processes with lack of interrater reliability standards between educators. A need exists for fair and consistent evaluation of nursing students. When the clinical educator uses a standard evaluation process and understands students’ motivation for learning, adaptations in teaching strategies and education on self-regulatory strategies can be implemented to enhance learning and measure clinical growth. This research study used a prospective, correlational, pre-test/post-test design to examine the relationship between student motivation …
Home Health Care Effect In Post-Discharge Return To Hospital, Danielle M. Siclovan
Home Health Care Effect In Post-Discharge Return To Hospital, Danielle M. Siclovan
Dissertations (1934 -)
Background: Home Health Care (HHC), the most commonly used bridge strategy for transitioning from hospital to home-based care, is expected to contribute to ongoing readmission avoidance efforts. However, evidence suggests HHC patients are readmitted more frequently than patients without HHC. Determining the effectiveness of HHC as a readmission reduction strategy requires a comparison sample of patients with similar characteristics referred and not referred to HHC. Methods: For this matched-sample comparative study, the available sample (n=18,774) included 3,629 patients referred to HHC and 15,145 non-HHC patients, from which 2,718 pairs matched 1:1 were obtained using exact and Mahalanobis distance matching. Unadjusted …
Comparing Interprofessional Socialization In Mixed Discipline And Nursing Student Only Cohorts, Kara Groom
Comparing Interprofessional Socialization In Mixed Discipline And Nursing Student Only Cohorts, Kara Groom
Dissertations (1934 -)
A main cause of patient safety incidents are avoidable failures in communication between health professionals. In response, healthcare has entered an era of interprofessionalism in education and patient care. A challenge to substantiating the value of interprofessional education (IPE) has been a limited number of studies that assess the effectiveness of IPE interventions compared to education interventions in which professions were learning separately from one another. This research project helps fill this gap and measures the differences in student interprofessional socialization (IS) between an IPE cohort and a usual care group of one-discipline learners. The purpose was to compare IS …
Qualitative Exploration Of The Perceptions Of Nursing Undergraduates Regarding Family Care At End-Of-Life, Penny A. Alt-Gehrman
Qualitative Exploration Of The Perceptions Of Nursing Undergraduates Regarding Family Care At End-Of-Life, Penny A. Alt-Gehrman
Dissertations (1934 -)
Background/Purpose: Family care at end-of-life is delivered by nurses and includes communication and explanations, providing emotional support for the family, creating an environment in which death occurs with dignity, providing privacy, facilitating visitation, and honoring and meeting cultural and personal family values (Beckstrand et al., 2011; Bloomer et al., 2013; Cronin et al., 2015; Heidari & Norouzadeh, 2014). There appears to be a gap in the empirical evidence and literature on this topic. Regarding the knowledge and comfort of student nurses, and subsequently nurses, in family care at the end-of-life, there is disparity. To determine what must be taught to …
Pre-Death Grief, Resourcefulness And Perceived Stress Among Care Givers Of Partners With Young Onset Dementia, Karie Kobiske
Pre-Death Grief, Resourcefulness And Perceived Stress Among Care Givers Of Partners With Young Onset Dementia, Karie Kobiske
Dissertations (1934 -)
Over 200,000 Americans are diagnosed with young onset dementia (YOD). YOD is the dementia diagnosed prior to the age of 65. Most persons of YOD are cared for by their partners. Caregiving for a partner diagnosed with YOD has unique challenges including multiple losses resulting from the functional, cognitive, and behavioral declines which can be demanding and stressful. These losses experienced by the caregiver of a partner diagnosed with YOD have been termed pre-death grief. Caregivers of partners with YOD often report high levels of burden and stress resulting in depression, anxiety, hopelessness, as well as increase morbidity and mortality. …
United States Born Mexican Origin Women's Descriptions About Their Eating Patterns, Juanita Teresa Garcia
United States Born Mexican Origin Women's Descriptions About Their Eating Patterns, Juanita Teresa Garcia
Dissertations (1934 -)
Problem. Mexican origin (MO) women comprise the largest Hispanic subgroup (nearly two-thirds) of Latinas in the US. This subgroup has high incidences of obesity and associated chronic diseases. Modifiable risk factors for obesity and chronic diseases include unhealthy diets and eating patterns. Efforts to understand eating patterns of Hispanics have focused on primarily first-generation Hispanics. To date, limited research has been conducted to explore underlying factors that contribute to eating patterns of US born MO women living in the US. Method. The purpose of this qualitative exploratory-descriptive study, using a thematic analysis approach, was employed to explore 15 US born …