Medicine and Health Sciences Commons^™

Information From The Experts Themselves: What Children With Diabetes Need And Desire, Corinne Jackman, Dr. Barbara Mandleco

Journal of Undergraduate Research

The purposes of this research are to 1) discover perceptions children/adolescents with diabetes have about their lives/illness and 2) develop appropriate interventions based on these perceptions. A number of youth diagnosed with type 1 diabetes face difficult challenges concerning their care and causing great stress on their family. Asking youth about their perceptions of living with type 1 diabetes can be useful in developing interventions that are exactly what the youth need/desire as they cope with their chronic illness. Hopefully, adjustment to the illness will be smoother and the family unit helped as the needed interventions are provided.

Measuring Cultural Competence In Nursing: A Qualitative Comparison Of Education And Workforce Measures, Robin Ellis, Dr. Erin Maughan

Journal of Undergraduate Research

The most recently published United States census indicates that nearly one fourth of the United States population is non-Caucasian (“Race and Ethnic Distribution,” 2001). Unlike the general population, nearly 90% of registered nurses identify themselves as primary Caucasian. Consequently, cultural awareness in health care has become an imperative issue.

Perceptions Of Single Parents Raising A Child With Disabilities: A Pilot Study, Dr. Barbara Mandleco, Danielle Nyholm

Journal of Undergraduate Research

Parents raising a child with disabilities (CWD) are subject to a unique experience that is often accompanied by many challenges not experienced by a parent raising normally developing children. The experience requires extensive time and money, and the parents endure many stressors resulting in exhaustion (Green, 2007). In addition, Kelso, French, and Fernandez (2005) found stressors for two-parent families of a CWD include the process of diagnosis, treatment decisions, the ability to function spontaneously as a family, schooling for their child, and lack of professional attention to their CWD. If two-parent families experience these difficulties, single-parent families will likely have …

Parental Perceptions: Religiosity And Depression In Families Raising A Child With Diabetes, Caitlin Herrmann Peterson, Dr. Barbara Mandleco

Journal of Undergraduate Research

Parents raising children with disabilities (CWD) experience a number of situations and stresses parents not raising a CWD experience. How families adapt to the situation of raising a CWD may be related to a number of variables including the parent’s religiosity and the depression level of the parents. Clearly, religion serves as an important resource to families; however, it may also act as a resource for families who are raising a CWD. In fact, qualitative and empirical studies alike show religious practices and spiritual beliefs predict relational outcomes (Richards & Bergin, 1997). There is minimal literature examining differences in religiosity …

Relationship Between Grief And Sleep Among Grief Group Members, Diana Snyder, Beth Cole

Journal of Undergraduate Research

Grief and bereavement can be defined as experiences created by responses to the loss of a family member or close friend. Such distressing experiences can be amplified by sleep dysfunction because of the devastating effects poor sleep quality has in healthy functioning. In a study done by Richardson, Lund, Caserta, Dudley, and Obray (2003), it was noted that 50 % of a group of 192 bereaved widows and widowers reported sleep disturbance within the first few months after the death of a spouse. Sleep disturbances have been highly correlated with problems such as depression, emotional lability, anger, loss of control, …

Nursing Students’ Perceptions Of Learning Outcomes Throughout Simulation Experiences, Christina Hunter, Dr. Patricia Ravert

Journal of Undergraduate Research

Identified learning outcomes when using high-fidelity simulators in a nursing lab are 1) improving communication, 2) increasing psychomotor skills, 3) understanding classroom material, 4) developing critical thinking, and 5) facilitating teamwork (Bambini, Washburn, & Perkins, 2009; McGaghie, Issenberg, Petrusa, & Scalese, 2006). Nursing students in each semester develop different learning outcomes. Communication, improving nursing skills, and developing critical thinking are outcomes of simulation for novice students (Bambini et al.). However, data is limited on outcomes of simulation for other levels of nursing students. The purpose of this study is to determine students’ perceptions regarding learning outcomes and their development throughout …

The Experiences Of Siblings Living With A Child With Type 1 Diabetes Mellitus, Mckenzie Miller, Dr. Barbara Mandleco

Journal of Undergraduate Research

Up to 40% of children in the United States require health related services above those needed by other children due to a chronic condition or illness, and as the majority of these children live at home, their presence greatly affects family members living with them (Mandleco, 2009). Although several chronic illnesses are seen in children, type 1 diabetes is one of the most common and the number of new cases is increasing each year (Lowes, Gregory, & Lyne, 2005). With the increasing frequency of this disease, it is critical that health-care providers know the effects it has on the diagnosed …

The Effects Of Prenatal Education On Maternal Perceptions Of Labor Experience, Christie Sue Henrichsen, Cassidy Tomao

Journal of Undergraduate Research

This qualitative descriptive study examined the perceptions of the birth experience for primaparous women who had received prenatal education classes (PNEC) compared with those who did not. The researchers surveys 20 women who had received PNEC and 20 who had not. Women were surveyed on the postpartum unit within 72 hours of giving birth and briefly interviewed about their experience.

Disseminating Evidence: Global Health And Nursing Column, Christina Bohn, Dr. Lynn Clark Callister

Journal of Undergraduate Research

The purpose of this project was to (1) disseminate evidence about global initiatives and individual nurses who are making a difference in the health of women and children worldwide, and (2) identify how nurses can become involved in global efforts. This evidence is published in MCN: The American Journal of Maternal Child Nursing and was presented at the Brigham Young University College of Nursing annual research conference on October 25, 2010.

Compassion Fatigue: Prevalence Among Nurses At A Midwest Pediatric Hospital, Branch Carole

Dissertations

Compassion fatigue is a term used to describe the unique stressors affecting people in care-giving professions (Joinson in 1992). For nurses, the impact of compassion fatigue may result in stress-related symptoms, job dissatisfaction, decreased productivity, patient satisfaction, safety issues, and job turnover. The purposes of this non-experimental descriptive survey using electronic distribution to collect data were to identify the prevalence of compassion fatigue composed of burnout and secondary traumatic stress and compassion satisfaction among nurses and nursing staff who deliver direct patient care at the hospital and the relationship between demographic variables (age, work category, level of education, work experience) …

A Pilot Project To Develop A Tool To Assess Gain In Knowledge In Third Graders Participating In A Science Based Drug Prevention Education Curriculum, Miriam Dawn Butler

Dissertations

Drug use and abuse presents a significant problem to individuals, families, and law enforcement in communities across the United States. Methamphetamine is a particular concern in one rural eastern Missouri county. Much work is being done in this county by multiple agencies to decrease methamphetamine production and use. Little attention, however, has been focused on prevention in the elementary schools. Substance use and experimentation may begin as early as 12 years old or even earlier. By initiating a proven drug prevention education curriculum before children begin to experiment with tobacco, alcohol and illicit drugs, drug use may be delayed or …

The Effect Of Heart Failure Education On Reducing Readmissions, Mayola Lara Villarruel

Evidence-Based Practice Project Reports

Management of heart failure is a significant financial challenge for the health care industry, costing approximately $33.2 billion annually. Common reasons for preventable heart failure readmissions include inadequate discharge education and lack of self-care and health management activities. Education at discharge is a vital component of improving heart failure outcomes. Following a review of the literature, high quality evidence supports that heart failure education should focus on medication adherence, sodium and fluid restriction, daily weights, activity tolerance, identification of deteriorating signs and symptoms of heart failure, and smoking cessation. The purpose of this EBP project was to reduce heart failure …

Outcomes Of A Smoking Cessation Clinic In Cardiology Services, Vancouver, Canada, Chizimuzo T.C. Okoli, Milan Khara

Nursing Presentations

BACKGROUND: Adults who have experienced cardiac events have a high burden of smoking and are likely to continue post cardiac event. Research in this population suggests that smoking cessation services offered to this population can reduce the re-occurrence of cardiac events by assisting patients in cessation. However, few cardiology clinics offer smoking cessation services and few cardiologists refer patients to such services. The Smoking Cessation Clinic (SCC) provides evidence-based smoking cessation treatment within Cardiology services in Vancouver General Hospital in Vancouver, Canada. The aim of this study was to evaluate the SCC program in terms of its program engagement …

Using The Inverse Transform To Specify Contrasts In Regression And Latent Curve Structural Equation Models, Thomas N. Templin

Nursing Faculty Research Publications

A simple yet general method for specifying contrasts to test hypotheses in regression and latent curve structural equation models is presented. The traditional qualitative variable coding schemes used in multiple regression (e.g., dummy coding) have a more general formulation. Five matrices are involved: The coding scheme, A. The matrix which gives the distribution and ordering of cases, W; WA = X; X is the design matrix. The contrast coefficient matrix C; and C^-1 = A. In practice, only C, C^-1, and A are necessary because the statistical software generates the design matrix. This method has great generality …

Prognostic Value Of Heart Rate Turbulence For Risk Assessment In Patients With Unstable Angina And Non-St Elevation Myocardial Infarction, Patricia R.E. Harris, Phyllis K. Stein, Gordon L. Fung, Barbara J. Drew

Collected Faculty Scholarship

Background: We sought to examine the prognostic value of heart rate turbulence derived from electrocardiographic recordings initiated in the emergency department for patients with non-ST elevation myocardial infarction (NSTEMI) or unstable angina.

Methods: Twenty-four-hour Holter recordings were started in patients with cardiac symptoms approximately 45 minutes after arrival in the emergency department. Patients subsequently diagnosed with NSTEMI or unstable angina who had recordings with ≥18 hours of sinus rhythm and sufficient data to compute Thrombolysis In Myocardial Infarction (TIMI) risk scores were chosen for analysis (n = 166). Endpoints were emergent re-entry to the cardiac emergency department and/or death at …

Prevalence Of High-Risk Human Papilloma Virus Among Women With Hepatitis C Virus Before Liver Transplantation, P. A. Tarallo, Janice Smolowitz, D. Carriero, J. Tarallo, A. Siegel, H. Jia, J. C. Emond

School of Nursing Faculty Scholarship and Creative Works

Background: We sought to assess the prevalence and risk factors for high-risk human papillomavirus (HPV) infection among female liver transplant (LT) candidates. Traditional health screening before LT listing has included Pap smear and is typically carried out by the patient's local provider. The prevalence of high-risk HPV in this population has not been studied. Methods: With Institutional Review Board approval, 62 LT candidates received a liquid-based Pap smear with high-risk HPV testing as part of their pre-transplant evaluation by a single provider. Clinical variables included age, ethnicity, insurance status, prior Pap smear, and HPV results, HPV risk factors including age …

Sodium (Na) Levels In Drinking Water (H20) And Development Of Hypertension In Children, Sara Schiffman

HIM 1990-2015

This integrative review of the literature focused on sodium (Na) content in drinking water (H?O) supplies and the subsequent effect on blood pressure levels in children. Studies for this review were drawn from the Cumulative Index of Nursing and Allied Health, PubMED, Science and Technology Databases, PsychInfo, United States (US) Environmental Protection Agency (EPA) and EPA in Florida websites. Criterion for inclusion in the data base searches were hypertension, high blood pressure, sodium in drinking water, drinking water salinity, children or preg'. Subsequently, further article selection criteria included children (under 18 years of age) and published in the English language …

Human Papillomavirus And Vaccination Of Males: Knowledge, Beliefs, And Perceptions Of Registered Nurses, Leah White

HIM 1990-2015

Background: Human papillomavirus (HPV) infections are the most common sexually transmitted infections in the world today. HPV has been identified as the cause of both cancer and genital warts. A vaccine to prevent select types of HPV infection was developed and approved for males and females ages 9 to 26. This vaccine has not been universally accepted by healthcare providers, parents, or the public and has lower vaccination coverage rates than other recommended vaccines for the same age group. Multiple studies addressing the knowledge, perceptions, and beliefs of providers and parents regarding the vaccine have taken place. Only a few …

Advance Directives: A Policy Required In The Asian Countries, Nasreen Panjwani

School of Nursing & Midwifery

Advancements in health care have resulted in elaborate treatments all over the world and contributed to problems at times for the terminally ill who need palliative care. Futile treatments have demonstrated to defuse the symptoms of the disease without curing. In such scenarios physicians only prolong life of patients, keeping them away from dying peacefully and depriving them from quality of life. In this context, families exhaust their financial and material resources for the treatment of their loved ones without any substantial results. Health care systems are passionate about prolonging life and are ignoring the component of caring by disregarding …

Smoking On The Margins: An Equity Analysis Of Vancouver's Outdoor Smoke-Free Policy In Parks And On Beaches, Chizimuzo T.C. Okoli, Ann Pederson

Nursing Presentations

Background: Increasingly, jurisdictions worldwide are addressing smoking restrictions in outdoor public spaces to reduce secondhand smoke exposure, discourage youth initiation, enhance cessation, and reduce environmental hazards (i.e., fire and cigarette-related litter). However, there is little research on the policy context and health-equity impact of such policies to help guide wider implementation efforts.

Objectives: On September 1, 2010, the Board of Parks and Recreation in Vancouver, Canada, introduced a smoke-free bylaw for the city’s parks and beaches. The Smoking on the Margins project is examining the policy context and potential health-equity impact of this bylaw.

Methods: Applying critical multiplism and equity-focused …

Smoking Cessation Outcomes Among Individuals With A History Of Psychotic Disorders As Compared To Those Without, Chizimuzo T.C. Okoli, Milan Khara

Nursing Presentations

Background: Psychotic disorders (e.g., Schizophrenia, schizoaffetive disorder) are associated with a higher smoking prevalence (relative to other psychiatric disorders) and smoking attributable mortality. Until recently, little has been done to address the disproportionate smoking in this population. The objectives of our study are to: 1) describe the characteristics of smokers with a history of psychiatric disorders (i.e., none, psychotic, and depressive/anxiety) and 2) examine smoking cessation/reduction outcomes by history of psychiatric disorders.

Methods: Retrospective analyses were conducted from charts of 982 participants accessing a tailored, evidence-based, tobacco treatment program within mental health and addictions services in Vancouver, Canada. Demographics, tobacco …

An Investigation Of The Economic Viability And Ethical Ramifications Of Video Surveillance In The Icu, Laura Bagge

HIM 1990-2015

The purpose of this review of literature is to investigate the various roles of video surveillance (VS) in the hospital's intensive care unit (ICU) as well as its legal and ethical implications. Today, hospitals spend more money on the ICU than on any other unit. By 2030, the population of those 65 and over is expected to double. 80% of older adults have at least one chronic diseases (Centers for Disease Control and Prevention, 2013). As a consequence, the demand for ICU services will likely increase, which may burden hospital with additional costs. Because of increasing economic pressures, more hospitals …

Military Nurses Caring For The Enemy, Sharon Thompson, Beth Mastel-Smith, Gloria Duke, Barbara K. Haas, Shellye Vardaman, Susan Yarbrough

Nursing Theses and Dissertations

Purpose: This phenomenological study described the lived experience and aftermath of U.S. military nurses assigned enemy detainees during Operation Iraqi Freedom/Operation Enduring Freedom. Two themes emerged: Insurgent Assignments (subthemes included identification of and interactions with insurgents; training, precautions, and ethical issues, thoughts and feelings, coping, and meanings of insurgent care) and The Aftermath (subthemes were mental, emotional, personal, professional, and positive). Conclusions: Insurgent assignments caused ethical dilemmas and challenged theoretical constructs related to caring. Formal training is needed to prepare nurses for the practicalities of and responses to insurgent assignments.

This work is the dissertation manuscript of Sharon Thompson, completed …

The Meaning Of Visual Thinking Strategies For Nursing Students, Margaret M. Moorman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nurse educators are called upon to provide creative, innovative experiences for students in order to prepare nurses to work in complex healthcare settings. As part of this preparation, teaching observational and communication skills is critical for nurses and can directly affect patient outcomes. Visual thinking strategies (VTS) are a teaching method that has been studied in primary education to develop communication and observational skills. VTS holds the possibility to improve these same skills in nursing students, but it has only been studied once with nursing students in a quantitative study. Therefore, this qualitative research study sought to explore how nursing …

Evaluation Of An Educational Intervention On Perceptions Of A Patient Safety Culture Among Staff In Acute Care Nursing Units, Cynthia Ann Parkman

UNLV Theses, Dissertations, Professional Papers, and Capstones

Patient safety has always been a central focus of nursing practice. Current research makes it increasingly clear that what occurs in the surrounding health care environment impacts patient safety. The protracted nursing shortage and nurse turnover may adversely affect patient outcomes and are exacerbated by an environment of disruptive behavior, conflict, and poor communication in the nursing workplace. The Joint Commission has identified these behaviors as key elements that jeopardize the "culture of safety" necessary to assure safe, quality patient outcomes. A culture of safety includes the attributes of teamwork, communication openness, collaboration, and a manager's positive focus on prevention …

Testing A Reflection Education Intervention On Baccalaureate Nursing Students' Level Of Reflection During Online Clinical Post Conference, Jaime Alicia Hannans

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background

The majority of faculty-student interactions are at low cognitive levels during nursing clinical post conference (CPC), a time often utilized for reflective thinking. Strategies have been implemented to promote or even teach reflection, but the level of reflection or impact of the intervention in nursing, such as the relationship to student attributes or clinical reasoning, is often not evaluated.

Specific Aims

The specific aims of this study are to (a) test the effect of a reflection education intervention on the baccalaureate students' level of reflection during online CPC, (b) examine the relationship between student attributes and level of reflection, …

Partnering For Change: Motivational Interviewing Strategies For Inpatients, A Unique Approach, Mary Whitlock Edm, Rn-Bc, Cde, Margaret Elizabeth Gergar Msn, Cocn, Ccwcn

Patient Care Services / Nursing

No abstract provided.

Concept Analysis Of Empowerment From Survivor And Nurse Perspectives Within The Context Of Cancer Survivorship, Teresa Jerofke-Owen

College of Nursing Faculty Research and Publications

The liberal usage of the concept of empowerment has led to the development of a broad and ambiguous term. In health care, empowerment is a core principle of patient-centered care that promotes patient engagement in health management. This is an analysis of the concept of empowerment within the context of cancer survivorship using both Rodgers' evolutionary concept analysis and Caron and Bower's dimensional analysis. The dimensional analysis followed the evolutionary concept analysis as the perspectives of patients and nurse providers emerged in the analysis. Data sources included a sample of 249 papers from multiple disciplines covering the period 2000–2013. Empowerment …

The Lived Experience Of The Novice Nursing Dean: Exploring The Meaning And Significance, Melissa Rae Bouws

UNLV Theses, Dissertations, Professional Papers, and Capstones

Deans of nursing hold a unique position for the future of the profession. Few others have the potential to bring about change within the academic setting, or hold such a strong influence on the future of nursing and on our students. Current statistics reveal multiple vacancies in nursing dean positions. Further understanding of how nursing deans begin their role, attain their identity as dean, and successfully execute this important position is needed to recruit and retain strong leaders who have the methods and skills to develop and support the advancement of the nursing profession. Understanding the process of becoming nursing …

Rallying The Team To Improve Glycemic Control In The Acute Care Setting: Mission Possible, Joyce Najarian Msn, Rn, Cde, Ann Flickinger Ms, Rd, Ldn, Marie Claude-Gutekunst Msn, Rn, Pccn, Brian D. Spadt

Patient Care Services / Nursing

No abstract provided.