Medicine and Health Sciences Commons^™

Sociolinguistic Dimensions Of Nurse Practitioner Practice: A Question Of Power, Merrily J. Allen Dnsc, Mn, Rn

Dissertations

Ethnographic methods were used to examine the sociolinguistic dimensions of female nurse practitioner interactions with female patients. The purpose was to provide a contextual account of the discursive practices used by the nurse practitioners during routine office visits with female patients. Direction for this research was provided by my concern about power inherent in professional-client dyadic relationships. Data collection methods included formal and informal interviews, participant observation and audio taping nurse-patient encounters. Nine nurse practitioners and 26 patients participated in the study in both private and public ambulatory care settings. Data analysis yielded two concurrent story lines which I labeled …

Parental Factors Related To The Use Of Car Seats For Children, Clara Rustin

MSN Research Projects

Automobile accidents are the leading cause of death and injury in children. Studies have shown that placing children in car seats can prevent injury and save lives. The purpose of this study was to identify parental factors related to the use of car seats for infant, toddler, and preschool children. A descriptive design was selected for this study to identify which parental factors impact on the use of car seats. The research question which guided this study was what are the parental factors related to the use of automobile car seats for infant, toddler, and preschool children. A convenience sample …

Comparison Of Level Of Satisfaction By Hiv-Infected Clients Who Have Received Care From Nurse Practitioners And Physicians In Outpatient Settings, Michael Hoffman

MSN Research Projects

Few studies have been done that examine the acceptance of nurse practitioners as providers of care by persons infected with the Human Immunodeficiency Virus (HIV). The purpose of this study was to evaluate the level of satisfaction with care as experienced by the HIV-infected client in an outpatient setting who has received care from both nurse practitioners and physicians. The Health Belief Model (HBM) developed by Rosenstock, Hochbaum, and Kegeles in the 1950s, and specifically the concept of self-efficacy, was chosen as the conceptual framework for this study. In this descriptive study the null hypothesis examined was there will be …

The Effect Of Participation In A Wellness Program On Employee Productivity, Absenteeism, And Medical Costs, Wynelle Benson

MSN Research Projects

Although some studies have determined a positive relationship between participation in a wellness program and job performance, no research had focused specifically on the older employee. In the next 10 to 15 years, companies will be retaining and recruiting older workers. Therefore, the purpose of this descriptive, retrospective study was to examine the effects of elder employee participation in a wellness program that includes aerobic activity. The Neuman Systems Model was used as the theoretical framework to guide this study. The sample (N = 30) consisted of blue-collar workers, age 50 years or older, who were randomly selected using a …

Health-Risk Behaviors Of Adolescents In Southwest Mississippi, Irene J. Martin

MSN Research Projects

Early mortality among youth in the United States has prompted research to determine precipitating causes. It is believed that health-related behaviors are learned early in life and persist into adulthood. During the developmental period of adolescence, coping behaviors which may have positive or negative effects on teens' lives are adopted. These behaviors predispose adolescents to preventable premature death, disease, and social problems. The purpose of this descriptive study was to replicate and expand the research done by St. Lawrence and Brasfield (1991). This replicated survey expanded the population to include adolescents in Grades 7 and 8, ages 12 to 14 …

Coping Strategies And Effectiveness In School-Age Children With Cystic Fibrosis, Carmen M. Redlin

MSN Research Projects

The purpose of this study was to determine the coping strategies and effectiveness in school age children with cystic fibrosis.

Utilization Of Community Service Programs By Elders In Rural Areas, Eddie Moore

MSN Research Projects

The purpose of this descriptive study was to identify existing community service programs and barriers to their use as identified by elders living in rural areas.

Benefits Of The Geriatric Nurse Clinician Role Within The Hospital Setting: A Quasi-Experimental Study, Gena Anne Vail

MSN Research Projects

The purpose of this quasi-experimental study was to assss the benefits to the patient of the geriatric nurse clinician role within the hospital setting.

Comparison Of The Incidence Of Couvade Syndrome Among Fathers Who Attend Childbirth Classes And Fathers Who Do Not Attend Childbirth Classes, Jenean H. Smith

MSN Research Projects

The purpose of this study was to compare the incidence of Couvade Syndrome among those fathers who attended childbirth classes and those who did not attend childbirth classes.

Identified Barriers To Well Child Care For Homeless Children Under Age Thirteen, Judith G. Riemer

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify barriers perceived by homeless families to well child care for their children under age thirteen and to determine if there is a relationship between perceived barriers and duration of homelessness. Using an investigator-modified version of Melnyk's Barriers Scale and a demographic measure, a convenience sample of homeless families (N = 53) from three transitional shelters in two southern California counties were surveyed via questionnaire. Barriers to well child care for homeless children were identified. No relationship was determined to exist between duration of homelessness and perceived barriers using a measurement of correlation.

Hospital Patients' And Nurses' Perceptions Of Quality, June Hansen Larrabee

Theses and Dissertations (ETD)

Hospital quality assurance programs have been provider-oriented, focusing on structure and process elements of care rather than outcomes specific to patient needs and values. This study tested the relationship between quality and value, proposed in Larrabee's model of quality, by developing prediction indices for patient and nurse quality and value.

The sample consisted of 199 adult patients. Patient quality was measured by a 100 mm visual analog scale (VAS) (PQUALG) and a modified version of an existing instrument (PQUALT). Patient value was measured as patient goal achievement (PGOAL), the average of three VAS scores for patient defined goals …

Occupational Stress Among Nurse Administrators In General Hospitals In Tennessee, Ruby T. Davis

Electronic Theses and Dissertations

The purpose of this study was to determine the level of occupational stress among nurse administrators and to identify the types of strategies used by nurse administrators to deal with or manage occupational stress. The study examined the relationship between selected demographic variables, occupational stress, and strategies. The research design included five research questions along with seven null hypotheses testing the relationship between occupational stress and demographic variables--age, gender, marital status, years of professional nursing experience, years as a nurse administrator, educational attainment, and hospital bed capacity. There were seven additional hypotheses testing the relationship between the same demographic variables …

Meta-Analysis On Costing Out Nursing Services, Judith G. Eckhart Dnsc

Dissertations

This descriptive meta-analytic study investigated 73 primary studies on costing out nursing services. A critical review of the literature revealed that findings from the various published and unpublished studies were inconsistent and inconclusive. This meta-analysis integrated the literature to identify the relationships between nursing costs and a second variable. The most frequently reported variables among the primary studies were compared using Pearson r correlations and percentages. The variables of total and direct nursing costs were correlated to the variables of length of stay, direct nursing care hours, hospital costs, and diagnostic related grouping (DRG) reimbursements. Analysis was conducted two ways. …

Being Pregnant And Using Drugs: A Retrospective Phenomenological Inquiry, Merry A. Armstrong Dnsc, Msn

Dissertations

Qualitative methodology was employed to conduct a phenomenological inquiry describing the structure of the experience of being pregnant and using drugs. The purpose of the study was to explore the nature of women's experience and perception of the interaction, relationship, and intersection of contextual phenomena of lifestyle, pregnancy, and substance abuse. Data gathering and analysis was accomplished using guidelines provided by Spiegelberg and Van Manen. Eleven mothers voluntarily participating in a recovery program described their prior experience of being addicted and pregnant during 2 conversations with the researcher. Through transcript analysis of the first audio-taped interview, major and minor themes …

The Impact Of An Employee Involvement Program On Service Quality In A Nursing Home Organization, Diane Catanzaro

Psychology Theses & Dissertations

The purpose of this research was to investigate the effects of an intervention involving employee participation in decision making and behavior modeling training on quality of service. Subjects were nursing aides in two similar nursing home facilities operated by a medium-sized long-term care organization. Participation in decision making involved weekly meetings using a quality-circle-type problem-solving process to develop suggestions for improving quality of service to residents and their families. Behavior modeling training was used to teach interpersonal skills necessary for handling a customer complaint. Service quality was assessed through family, resident, and supervisor ratings of nursing aide service behaviors. The …

How Latinas Come To Know About Aids And Aids Prevention, Patricia Walker Caudle Dnsc, Mnsc, Fnp, Rnc

Dissertations

By the year 2000, Latinos will become the largest minority group in the United States. Acquired Immunodeficiency Syndrome (AIDS) is occurring at a disproportionately high rate among Latinos. As care-giver and health decision-maker in the family, the Latina needs to know about AIDS and AIDS prevention. This research identified and offers an explanation of how the Latina comes to know about AIDS and AIDS prevention within the context of the family and the Latino culture. Grounded theory methodology was used to explore the complex socialization patterns within the Latino community that affect how the Latina perceives HIV/AIDS. Data were collected …

Faculty And Student Perceptions Of Effective Clinical Teachers: A Replication, Kathleen L. Miller

Masters Theses

Clinical teaching in nursing has been found to be as problematic as it is in other practice-oriented professions. The purpose of this study is to identify student's and faculty's perceptions of effective characteristics of clinical teachers. An anonymous questionnaire was distributed to students and faculty at a university college of nursing in western Michigan to solicit their perceptions. The study data reveal both similarities and differences in their perceptions and raises awareness of how clinical teachers need to be atune with nursing student's learning needs and learning styles. Comparison of this study with the previous studies show a common direction …

The Effect Of Anxiety On Student Nurses' Performance When Administering Intramuscular Or Subcutaneous Injections, Sandra L. Osborne

Masters Theses

The purpose of this study was to determine what the relationship was between levels of trait and state anxiety and performance when giving intramuscular or subcutaneous injections. It was a replication of a study by Megal, Wilken, and Volcek (1987).; In May, 1990, the STAI Form Y-2 was used to assess trait anxiety of 17 students at a community college in the Midwest. State anxiety was measured by using the STAI Form Y-1 immediately before: (1) laboratory performance examinations and (2) giving first injections to clients. Instructors completed Injection Skill Check Lists to measure performance.; Students reported high levels of …

The Relationship Between Locus Of Control, Powerlessness, And Job Satisfaction Among Registered Nurses, Evelyn C. Wirsing

Masters Theses

A cross-sectional descriptive correlational design was used to investigate the following research questions: (a) How much variation in nurses' satisfaction can be predicted from locus of control and powerlessness? and (b) are there statistically significant (p {dollar}<{dollar}.05) differences in job satisfaction among nurses based upon their primary area of practice, highest earned degree, length of employment in current position, and employment status? A random sample of 300 staff nurses from a large acute care teaching hospital was surveyed utilizing a four-part questionnaire. The response rate was 51% (N = 152). Powerlessness accounted for 29% of the variance in job satisfaction scores and locus of control accounted for none of the variation in job satisfaction. Secondly, a weekly significant difference (F(5, 146) = 2.29, p {dollar}<{dollar}.05) in job satisfaction scores existed among clinical specialty groups, however no significant differences in job satisfaction were found for the remaining professional characteristics.

Evaluating Family Caregivers' Ability To Select Appropriate Care Techniques Following Discharge Instructions On Post Traumatic Brain Injury Symptoms, Connie J. Pardee

Masters Theses

Post traumatic brain injury symptoms can be very stressful to family caregivers. This study evaluated family caregivers' ability to select appropriate caregiver actions following discharge instructions on post traumatic brain injury symptoms. Subjects in the control group viewed videotaped discharge instructions on physical symptoms post traumatic brain injury. The experimental group viewed videotaped discharge instructions on physical symptoms, cognitive dysfunction and behavioral changes post traumatic brain injury. Both groups were given a written post test after viewing the videotape. Those who received information on physical symptoms, cognitive dysfunction, and behavioral changes had a higher mean score than those who received …

Evaluation Of Coagulation Studies Drawn From Heparinized Arterial Lines, Lois J. Van Donselaar

Masters Theses

Drawing blood from indwelling heparinized arterial catheters is a common procedure in critical care units. The accuracy of coagulation studies drawn from heparinized arterial lines has been a source of controversy and divergent results of research studies. The discarding of blood to provide an uncontaminated specimen is a concern as a source of infection for health care workers. This study evaluates the accuracy of aPTT results drawn from the Lab-Site pressure tubing system which provides a closed system that eliminates blood discard. Blood was obtained from radial artery catheters connected to the Lab-Site system and compared to specimens obtained simultaneously, …

Parental Coping With A Chronically Ill Child, Shari Jo Allore Bertolone

Masters Theses

The purpose of this study was to determine what coping mechanisms families of chronically ill children indicated they utilized to cope on a daily basis. This study utilized the Coping Health Inventory for Parents (CHIP) to collect data. The CHIP is designed to assess parents perceptions of behaviors they are currently using to manage family life. There are three main coping patterns focused on and it is hypothesized that a balance of these three patterns is essential for a positive outcome. This study found there are certain mothers and fathers who are at risk for not using a balance of …

Hardiness And Adaptation To Hypertension, Marcia L. Smit

Masters Theses

Hardiness, a personality characteristic that is purposed to mediate the stress response and reduce the likelihood of illness, was studied in the context of adaptation to chronic disease. A descriptive correlational design was used to determine whether a positive relationship exists between the presence of hardiness and psychosocial adaptation to hypertension. The sample consisted of 50 individuals 60 years old or older. Data was analyzed using the product moment correlation coefficient, Spearman's Rho, and multiple regression. A moderately weak correlation (r =.39, df = 48, p =.003) between hardiness and adaptation was found. Other significant relationships identified included those between …

Positioning Of High Risk Infants: Effects On Oxygen Utilization, Umbilical Artery Catheter Integrity And Activity, Dawn Zuidgeest-Craft

Masters Theses

In a prospective experimental study, 24 high risk infants over 1,000 grams and under 5 days of age were observed and evaluated for the effects of positioning on the umbilical artery catheter, activity, and oxygen utilization. Infants were positioned right lateral, left lateral, supine and prone, for 2 hours in each position. The purpose of the study was to evaluate whether prone position opposed to other positions increased sleep state behaviors, reduced oxygen need, or created any complication for the umbilical artery catheter. Using a repeated measures design and repeated measures analysis of variance, it was found that positioning prone …

The Relationship Between Attributions And Adjustment Following Myocardial Infarction, Margaret Elizabeth Bowles

Masters Theses

The purpose of this study was to identify if spontaneous attributional search was part of the reaction to a myocardial infarction (MI) and if there were relationships among attributional search, perception of control over attributions, gender and adjustment following MI. Attribution theory provided the framework for this study. A descriptive correlational design was utilized. The convenience sample included twenty male and twenty female subjects hospitalized with a MI. The Multiple Affect Adjective Check List and an attribution questionnaire constructed specifically for this study were administered prior to discharge from the hospital. It was hypothesized that of those subjects that have …

A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema

Masters Theses

The purpose of this descriptive, correlational study was to compare the critical thinking and clinical judgement skills of senior nursing students at two educational levels. A convenience sample of 34 students in the Midwest was obtained during the spring semester before graduation (n = 19 baccalaureate, n = 15 associate). The framework for the study was decision theory. Critical thinking ability was measured by the Watson Glaser Critical Thinking Appraisal. Clinical judgement was determined by the ability to recognize cues, provide nursing diagnosis, interventions and corresponding rationale after viewing five video vignettes produced by Performance Management Services. Demographic data was …

The Health Belief Model And Needle Recapping: A Replication, Rosemary M. Rackow Ham

Masters Theses

The purpose of this study was to examine the knowledge of Universal Precautions, the attitudes and beliefs regarding the risk of AIDS among emergency room and critical care nurses and physicians, and the needle recapping behavior that places them at risk for acquiring HIV infection. The Health Belief Model was the conceptual model.; The sample (n = 80) consisted of nurses (n = 68) and physicians (n = 12) who practice in the emergency room (n = 19) or a critical care unit (n = 61) in a community hospital. They completed a 31 item questionnaire. In addition, needle disposal …

Perceptions Of Patients, Nurses, And Physicians Regarding Nursing As A Profession, Ann R. Robach

Masters Theses

The United States is facing a critical shortage of nurses. A prevailing societal perception of nursing having a subservient role in health care prevents many recruits from choosing this career, despite efforts by nursing leaders to change this perception (Styles, 1988). The purpose of this study was to determine the current perceptions of patients, nurses, and physicians regarding nursing as a profession.; A 20 item modified version of Valiga's View of Nursing Questionnaire was implemented for this study. The subjects included 102 patients, 126 nurses, and 68 physicians who completed the questionnaire in the fall of 1991.; Statistical analysis revealed …

Concerns/Problems Experienced After Discharge From An Acute Care Setting: The Patient's Perspective, Karen R. Peper

Masters Theses

The purpose of this study was to examine the discharge planning process in terms of concerns that patients experience after discharge from an acute care setting. Betty Neuman's Health Care Systems Model was the conceptual framework. Aspects of secondary prevention were used to classify the concerns as either a lack of resources or a reaction to a stressor.; The sample (n = 146) consisted of medical and surgical patients, 18 years or older hospitalized at a community hospital for at least 24 hours.; Data were analyzed descriptively. Data revealed that patients do experience some concerns after discharge. The top four …

The Effects Of Prenatal Breast-Feeding Class On Breast-Feeding Success And Maternal Perception Of The Infant: A Replication, Eileen Grunstra, Susan Rowe

Masters Theses

The purpose of this study was to determine the effectiveness of prenatal breast-feeding education on a mother's perceived success at breast-feeding. This study also looked at the relationship of prenatal breast-feeding education on a mother's perception of her infant. The conceptual framework utilized was the Roy Adaptation Model. Motherhood and breast-feeding involve a change in role, which is why this theory served as a foundation for the study. The method for study was a quasi-experimental design. Subjects in the experimental group attended a prenatal breast-feeding class, those in the control group did not. In addition to a general survey questionnaire, …