Medicine and Health Sciences Commons^™

Facing Down Death And Moving Beyond: Strategies Utilized By Female Survivors Of Childhood Maltreatment, Tonya Barri Broyles

Doctoral Dissertations

This study is a secondary analysis of a federally funded study of survivors of childhood maltreatment, who now consider themselves to be successful and effective in their current environments as adults. The purpose of this secondary analysis was to identify strategies that female survivors of childhood maltreatment have used as children and as adults to move beyond the effects of the abuse. An in-depth analysis of 27 women who have completed three interviews over the course of a year has revealed a generative theme of “Facing Down Death” and two interconnected themes of “Purposeful Cognitions/ Emotions,” and “Purposeful Actions.” Each …

Promises To Keep: A Phenomenological Study Of Icu Nurses’ Experiences Caring For Dying Patients, Phyllis Ann King

Doctoral Dissertations

The purpose of this study was to describe the experience of nurses caring for dying patients in the critical care unit. Using a phenomenological approach based on the works of Merleau-Ponty, the researcher completed 14 interviews in which ICU nurses were asked to describe experiences of caring for patients who died while in their care. The interviews were transcribed verbatim and analyzed using a hermeneutical approach developed by Pollio and applied to nursing research by Thomas. Each interview was examined within the context of all the interviews to identify themes found throughout. The world of the ICU was grounded in …

A Critical Case Study Of Program Fidelity In Tenncare, Carole Lynn Myers

Doctoral Dissertations

Purpose: The purpose of this study was to evaluate the fidelity of the design of Tennessee's Medicaid managed care program in comparison to the actual program operation. Program fidelity is a broad measurement of how true the implemented program is to the intended program (Heflinger & Northrup, 2000).

Background: In the span of only 15 years, the introduction of managed care and other market-based strategies from the private sector precipitated a transformation of the delivery of Medicaid services in the United States. These monumental changes remain poorly understood. The implementation of managed care in Tennessee's Medicaid program is an excellent …

Parent-Daughter Relationships In Abusive Families As Perceived By Adult Female Survivors Of Childhood Abuse, Kimberly Sue Bolton

Doctoral Dissertations

The numbers of children who suffer childhood abuse are in the millions. A great percentage of this childhood abuse occurs within the family of origin and takes place within the child's own home. Parents who are supposed to love and protect their children are most commonly the abusers of children with consequent mental health outcomes for children. Secrecy and societal denial are obstacles to these children being helped at the time of abuse; often emotional and social problems extend into adulthood. The girl abused in her own family does not have the usual experience of her parents as loving and …