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Articles 1231 - 1258 of 1258
Full-Text Articles in Medicine and Health Sciences
A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc
A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc
Dissertations
The purpose of this study was to describe and explain the impact of work stress, sex role organization, and organizational tenure on self-esteem and work satisfaction, and ultimately, on the organizational commitment of registered nurses. An eclectic framework was utilized which incorporated organizational and personal variables. The correlational design resulted in a temporally ordered causal recursive model with linkages supported by a literature review. Past research has demonstrated less organizationally committed nurses more prone to leave their positions, and high turnover is detrimental to patient care as well as costly to the health care system. The sample consisted of 143 …
Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc
Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc
Dissertations
Within a stress-coping-adaptation framework, a path analytic model was hypothesized to explain the interrelationships among the variables of gender, age, duration of illness, steroid dosage, social support, perceived health status limitations, and coping skills, and their subsequent effect on body image appraisal in the population of subjects undergoing treatment for a malignant brain tumor. The many potential changes in physical appearance and functional abilities, including the loss of hair, the onset of Cushing's syndrome and varied physical disabilities, may cause devastating alterations in body image, requiring tremendous coping skills for adaptation in these individuals. One hundred and ten subjects were …
Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn
Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn
Dissertations
Ethnographic methods were used to examine the nurse-patient interaction for the purpose of developing descriptive and explanatory theory of patient satisfaction based on patients' perceptions regarding their nurses' interpersonal skills. A private acute care hospital was the setting for 40 patients and 12 nurses who were study participants. Four processes provided the framework for the themes that emerged: "translating," "getting to know you," "establishing trust," and "going the extra mile." I labeled the action of nurses informing, explaining, instructing, and teaching patients the translation process. Informing and explaining were described by both patients and nurses as very important to the …
Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C
Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C
Dissertations
The purpose of this study was to identify a substantive theory to explain and predict interpersonal conflict as it is experienced by nursing faculty. Gaining an understanding of this process may assist faculty and administrators of nursing education programs in dealing with interpersonal conflict in more constructive and helpful ways. It may also provide the basis for further development of formal theory and the potential for theory testing. The grounded theory method described by Glaser and Strauss (1967) and Glaser (1978) guided data collection and analysis. The sample was comprised of 18 full-time nursing faculty members from the field site …
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Dissertations
Using a stress-coping theoretical framework, this path analytic study examined the effects of hardiness, self-esteem, social support, and stress on coping, service utilization, and well-being of elderly women. Fifty-five rural and fifty-five urban females living in the community comprised the sample whose mean age was 75 years. The overall level of well-being of these women was high. Hardiness was associated with greater social support and well-being. Self-esteem was related to lower stress. Hardiness and self-esteem were also associated with decreased use of emotion-focused coping. Stress had a positive relationship with service utilization and a negative relationship with well-being. Problem-focused coping …
The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn
The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn
Dissertations
The purpose of this phenomenological study was to describe clients' lived experiences of advocacy associated with the nurse-client relationship. The sample consisted of ten non-hospitalized adults, 19 to 72 years of age, who had a hospitalization or ambulatory relationship with a registered nurse within the previous six months. Data were gathered via interviews initiated with the same open-ended question. Georgi's five step method was used for data analysis. Four essential characteristics of advocacy associated with the nurse-client relationship were identified. Described by clients as nurse attributes, behaviors, and actions, they were labelled: Competent Knower, Competent Doer, Humanizer, and Communicator. Clients …
The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn
The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn
Dissertations
The focus of this phenomenological inquiry was the question: What is the meaning (essential structure) of the experience of being cared for as lived by female nurses? The purpose of this study was to explore and describe the experience of being cared for. Phenomenologic methodology was used for this study. Data analysis was patterned after the guidelines set out by Colaizzi, and Miles and Huberman. Fifteen female nurses described their experiences of being cared for during two interviews with the researcher. Through analysis of the first audio-taped interview metathemes describing the phenomena and a unity of meaning emerged. During the …
A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn
A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn
Dissertations
Little is known or written about one of nursing's most enduring and productive leaders, Julia Catherine Stimson. The purpose of this investigation was to examine the life and character of Miss Stimson and to identify the many, diverse contributions which she made to the profession of nursing and to humanity. Additionally through an analysis of her leadership qualities, a profile of an effective nursing leader evolved. The historical method was used in this investigation. Data was collected for the study from the National Archives, the Center of Military History, the New York Hospital/Cornell Medical Center Archives, the New York Historical …
Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp
Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp
Dissertations
The purpose of this research was to conceptualize, construct and establish psychometric properties of an instrument to examine unmeasured dimensions of autonomy in practice through a process of retroduction and triangulation. In the context of ongoing rapid change and increasing competition in the health care delivery arena there is valid reason for nursing and other health professions to be concerned with their autonomous practice status. However, research and instrumentation activities have been hindered by the abstract nature of autonomy with only limited theoretical dimensions empirically measured. There is need to develop new, original, useful, and generalizable tools with a wide …
The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn
The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn
Dissertations
The behaviors, beliefs and values that characterize everyday practice of first-line nurse managers role were analyzed. Ethnographic field research techniques were used including nine months of observation and in-depth interviews with practicing nurse managers. After reviewing historical events that shaped the role of the nurse manager, the role was then placed within the economic, social and health care context of the 1970's and 80's. Research and anecdotal descriptions of the manager role of the past twenty years were also explored. Research was conducted in two voluntary acute care, multi-service hospitals. One manager was observed intensively for two months to develop …
The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc
The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc
Dissertations
The purpose of this study was to explore the phenomenon of comforting possessions in order to develop descriptive theory based on the perceptions, beliefs, values, symbolic meanings, and feelings of young children regarding comforting possessions. Using ethnographic methods, children with comforting possessions were observed extensively in a preschool setting (n = 10). Two of these children were later interviewed with a parent present. In addition, 17 other children were interviewed in the home or preschool setting with a parent present for a total study sample of 27 children. Several major patterns were supported by the data derived from these two …
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Dissertations
Using a stress-coping theoretical framework, this path analytic study revealed personal influences and outcomes of caring by nurses from a patient's perspective. Rating the amount of humanistic caring from a specific nurse who had the greatest effect on them during their current hospital admission, this sample of 120 adult, hospitalized, medically-treated patients, between 25 to 65 years of age indicated that a moderate amount of caring tended to be beneficial. The personal factors which influenced these ratings included the desire to be kept informed, age, and pain perceptions. Younger patients, individuals who desired more cognitive control over health care, and …
The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc
The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc
Dissertations
The purpose of this study was to examine the effects of collaborative behavior, organizational climate, and job stress on job satisfaction and anticipated turnover in nursing. The path analytic model of anticipated turnover was temporally ordered with all exogenous variables proposed to directly affect job satisfaction and anticipated turnover and indirectly affect anticipated turnover through job satisfaction. Subjects (N = 188) were female Registered Nurses from six hospitals in Southern California. The majority of the respondents were clinical nurses who worked full time on the day shift, although a significant percentage of the sample also worked part-time or perdiem and …
Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc
Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc
Dissertations
Mentoring is viewed as a viable developmental process for nurses that promotes professional maturation, career satisfaction, and strong, competent leaders. Personal and organizational variables related to mentoring, such as mentoring potential, professional success, immediate organizational climate, general organizational climate, and experience as a mentee, have been described in the theoretical and research literature. A conceptual model for this investigation was developed which related these variables to the mentors' perceptions of the strength of their strongest mentoring relationship. The purpose of this study was to establish the strength of the relationships delineated in the model. The model was tested on 125 …
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Dissertations
The purpose of this study was to describe and explain the impact of demographic variables (age, educational level, time since diagnosis) and subsequent psychosocial variables (perceived stress, ways of coping, professional support, and social support) on adherence and, ultimately, on health status (blood pressure, psychological symptoms, and subjective health) in patients with essential hypertension whose health care was managed by a nurse. Because nurses manage the therapeutic regimens of these patients, it is necessary to identify those factors that influence adherence and thus the health of hypertensive individuals. The transactional framework of stress, appraisal, and coping of Lazarus and Folkman …
Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn
Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn
Dissertations
The purpose of this study was to examine the interrelationships of the person-environment variables of age, sex, length of illness, pain, social support, and physical function as they affected psychological adaptation in dying. An adaptation paradigm of constructs from nursing, illness, and dying provided the theoretical framework which was used to formulate and test a causal model. This study, in addition, had a qualitative component that identified, from the participants' spontaneous responses, reactions to and perceptions of the dying process. A sample of 97 adults was recruited from two metropolitan home hospice programs, with testing occurring in the home. Regression …
A Model Of Registered Nurse Intent To Stay In Southern California Childrens' Hospitals, Linda Diann Urden Dnsc, Mn, Rn, Cna
A Model Of Registered Nurse Intent To Stay In Southern California Childrens' Hospitals, Linda Diann Urden Dnsc, Mn, Rn, Cna
Dissertations
The purpose of this study was to examine the interrelationships of professional image, organizational climate or domains thereof, professional commitment, organizational commitment, position satisfaction, and the influence of these variables on intent to stay employed. The path analytic model of intent to stay was temporally ordered and proposed that professional image and organizational climate affect intent to stay through professional commitment, organizational commitment, and position satisfaction. Subjects (n = 232) were both male and female registered nurses who worked per diem, part-time, or full-time on all shifts. They held clinical positions, delivered direct care, and had been employed in one …
Multiple Role Women And Their Spouses: Variables Effecting Family Functioning, Julie C. Novak Dnsc, Cpnp, Ma, Rn
Multiple Role Women And Their Spouses: Variables Effecting Family Functioning, Julie C. Novak Dnsc, Cpnp, Ma, Rn
Dissertations
The purpose of this study was to examine the effect of age, education, perceived child care support, social support, role conflict, coping and marital adjustment on family functioning as experienced by multiple role women and their spouses. The family has long been recognized as the most important contextual influence in human growth and development. Nurses have been working with families for generations, especially in community and mental health nursing. It is only in the last decade, however, that there has been an increasing interest in family research among nurses reflected in a trend away from individual-focused studies and toward a …
Cognitive Learning Outcomes In A Cardiac Nursing Course: A Pilot Study, Amanda J. Whittle
Cognitive Learning Outcomes In A Cardiac Nursing Course: A Pilot Study, Amanda J. Whittle
Theses : Honours
This study measured the cognitive learning outcomes of registered nurses who completed a short cardiac nursing course. This course was held in a metropolitan teaching hospital during four weeks in September, 1989. The author grouped the twenty participants into one of two groups according to prior acute cardiac nursing experience; (1) those who had less than six months post-basic cardiac nursing experience; and (2) those who had six months or more post-basic cardiac nursing experience. A pre-course test and post-course test was given to the participants to measure the dependent variable, that is, cognitive knowledge. Using as case-comparative design, the …
Pregnancy Outcome In Military And Civilian Women, Karen Messersmith Heroman Dnsc
Pregnancy Outcome In Military And Civilian Women, Karen Messersmith Heroman Dnsc
Dissertations
Low birth weight and prematurity account for much of the morbidity and mortality in the neonatal period as well as for much of the cost in newborn care. The purpose of this investigation was to determine if two groups of pregnant women, military enlisted and civilian dependents, differed in selected risk factors (smoking, alcohol consumption, weight gain, prenatal care, work patterns, life stress, and social support) or in pregnancy outcome (infant birth weight and gestational age). The House (1981) theory of stress, social support, and health served as the framework for this study. Since little has been published on pregnancy …
Beliefs Concerning Role Of The Nursing Service Administrator In Hospitals As Expressed By Chief Executive Officers, Nursing Service Administrators, And Nurse Educators, Jimmie R. Williams
Beliefs Concerning Role Of The Nursing Service Administrator In Hospitals As Expressed By Chief Executive Officers, Nursing Service Administrators, And Nurse Educators, Jimmie R. Williams
Electronic Theses and Dissertations
This study was undertaken to determine the degree of relationship in perceptions held by three health care administrative groups between the desirable and actual role functions of the hospital nursing service administrator. This descriptive study surveyed hospital Chief Executive Officers (CEOs), and Nursing Service Administrators (NSAs) in 100 randomly selected general hospitals, and chairpersons of graduate programs in nursing service administration. The instrument for this study was the Beliefs Concerning Role of Hospital Nursing Service Administrator, a 12-item instrument designed to determine some of the desirable (optimal) and actual (currently performed) role functions of the hospital Nursing Service Administrator (NSA), …
Care During Death, Grief And Loss: The Effects Of A Workshop And Clinical Experience On Student Nurses' Attitudes And Actions, Lynda Armstrong Wilson
Care During Death, Grief And Loss: The Effects Of A Workshop And Clinical Experience On Student Nurses' Attitudes And Actions, Lynda Armstrong Wilson
University of the Pacific Theses and Dissertations
Problem. Nurses, members of a society which tends to avoid and deny death, grief, and loss, are frequently in situations where they must interact with persons experiencing grief from death or loss. Often educational experiences have done little to prepare student nurses to cope in positive and supportive ways. Student nurses need to develop self-awareness of their attitudes and anxieties toward death, loss, and grief; modify negative attitudes; and develop a repertoire of interpersonal skills to support persons experiencing grief. Purpose. The purpose of this study was to determine if academic, and experiential learning could influence the clinical performance of …
Correlates Of Knowledge And Locus Of Control On Burden In Professional Caregivers Of Alzheimer's Disease Victims In Three Institution Types, Ruth A. Manning-Gay
Correlates Of Knowledge And Locus Of Control On Burden In Professional Caregivers Of Alzheimer's Disease Victims In Three Institution Types, Ruth A. Manning-Gay
Community & Environmental Health Theses & Dissertations
In assessing professional caregivers of Alzheimer's Disease victims, this study tested whether, 1) knowledge would influence perceptions of burden in providing care to such patients, and if 2) individual locus of control would influence perceptions of burden in caring for; Alzheimer's I patients. Professional nurses (BSN's, RN's, and LPN's) from nursing banes, hospitals and psychiatric facilities were asked to complete a three part survey. Three instruments were utilized in this study: the Burden Self-Interview by Zarit, Reeves and Bach-Peterson and adapted for professional caregivers, a 15 item knowledge quiz and the North Carolina Internal External scale (short form) by Schopler, …
An Analysis Of The Correlation Between Nurses' Attitudes Toward Death And Their Presence With The Dying Patient, Uvonna Weeks Daniels
An Analysis Of The Correlation Between Nurses' Attitudes Toward Death And Their Presence With The Dying Patient, Uvonna Weeks Daniels
Nursing Theses & Dissertations
The correlation between the nurses' attitudes toward death, as determined by the Questionnaire for Understanding the Dying Person and His Family, and the nurses' presence with a dying patient at the time of death was analyzed. The subjects were 31 registered nurses employed by eight acute care hospitals in Southeastern Virginia. The nurses were grouped into categories of flexible, moderate, and rigid attitudes toward death, relative to their scores on the questionnaire. Other variables of the nurses' age, sex, religion, strength of religious beliefs, entry level education, highest education level, years of experience, death of family members or friends, attitudes …
An Analysis Of The Needs Of Re-Entry Nurses As Perceived By Re-Entry Nurses, Nurse Educators, And Nurse Administrators, Jean Phyllis Ruxton
An Analysis Of The Needs Of Re-Entry Nurses As Perceived By Re-Entry Nurses, Nurse Educators, And Nurse Administrators, Jean Phyllis Ruxton
University of the Pacific Theses and Dissertations
Purpose. The purpose of this study was to determine if differences existed in the perceptions of re-entry nurses, nurse educators, and nurse administrators with regard to the needs of women who wish to become re-employed in the nursing field. Specific barriers to re-entry and perceived needs in terms of skills and knowledge were examined. Procedure. The sample for the study included inactive nurses, nurse educators and nurse administrators from 13 counties within California. The inactive nurse (re-entry) group was selected from the rosters of three continuing education programs. The nurse educator and nurse administrator groups were randomly selected from a …
The Director Of Nursing Service: A Primer, Sheila Lenkman
Administrative Manual For Schools Of Nurse Anesthesia: A Research And Development Study, Joyce W. Kelly
Administrative Manual For Schools Of Nurse Anesthesia: A Research And Development Study, Joyce W. Kelly
Theses
Unavailable.
History Of Visiting Nurse Association Of Indianapolis, 1913-1959, Charlotte Akins
History Of Visiting Nurse Association Of Indianapolis, 1913-1959, Charlotte Akins
Graduate Thesis Collection
The Visiting Nurse Association of Indianapolis, formerly the Public Health Nursing Association of Indianapolis, is a nonofficial community agency in Marion County. It was incorporated January 11, 1913. According to its constitution, it was organized to "provide graduate registered nurses to teach needy individuals and the general public hygiene, cleanliness, and the proper care of the sick; to prevent disease; and to render such aid as may from time to time be proper."I This organization has provided nursing care in homes, in clinics, in industries, and in other situations outside the hospitals since its beginning. Since 1921 it also has …