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Development And Initial Psychometric Evaluation Of A Culturally- Sensitive Beliefs About Personal Weight Survey, Stephanie Pickett

Wayne State University Dissertations

ABSTRACT

DEVELOPMENT AND INITIAL PSYCHOMETRIC EVALUATION OF

A CULTURALLY-SENSITIVE BELIEFS ABOUT PERSONAL WEIGHT SURVEY

by

STEPHANIE PICKETT

December 2012

Advisor: Dr. Rosalind Peters

Major: Nursing

Degree: Doctor of Philosophy

The purpose of this study was to develop and perform initial psychometric evaluation of an instrument that measures beliefs about personal weight in young African American women. Beliefs about personal weight were defined as a multidimensional concept consisting of the convictions regarding the descriptive characteristics, causal attributions, and consequences of one's personal weight. The theory of self-care (Orem, 2001) was used to conceptualize concepts and conceptual relationships.

The Beliefs about Personal …

The Family Experience Of Participating In An Icu Support Group: A Pilot Study, Rebecca Marie Scharpe

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to describe the experience of family members participating in an intensive care unit support group. The family experience of an adult family member's critical illness is filled with emotional distress, suffering, and difficulty coping. Few family nursing interventions to care for family members of ICU patients have been researched. Research is inconsistent regarding the value of a support group in the ICU setting of a hospital. A qualitative design, using hermeneutic phenomenology was chosen. Five interviews were conducted with seven family members. The experience of participating in an ICU support groups was analyzed within …

College Age Female Smokers And The Efficacy Of Smoking Cessation On College Campuses, Gretchen Suzanne Strobel

All Graduate Theses, Dissertations, and Other Capstone Projects

Young females are smoking on campuses in increasing rates in the last two decades. This thesis is secondary data analysis of a primary study with data from 472 female respondents, ages 18 to 24, enrolled or registered for classes at Minnesota State University, Mankato in the Spring, Summer and Fall semester of 2011. This sample included current smokers, former smokers, and nonsmokers. This research study will discuss the relationship between the age one starts smoking and any association with participation in unprotected intercourse and the concomitant use of estrogen containing oral contraceptives. Among the respondents a majority started smoking between …

Access And Barriers To Diabetic Self Care Education And Support Groups In A Rural Southern Minnesota Community, Elizabeth Waters

All Graduate Theses, Dissertations, and Other Capstone Projects

Diabetic education and support groups promote self care, improve health outcomes, and decrease health care costs. Self care, an important aspect of diabetes care, can be promoted through diabetes education and support groups. Few studies have been done to explore rural population's access to and attendance of diabetes self care education and support groups. The purpose of this qualitative study was to determine if residents of a rural southern Minnesota community have access to diabetes education and support groups and what barriers they face to attending the groups. The understanding gained through this study will help to develop nursing interventions …

Noncardiac Chest Pain: The Use Of High Resolution Manometry As A Diagnostic Tool, Iman Hilal

Electronic Theses and Dissertations

Chest pain is one of the most common symptoms responsible for emergency department and primary care office visits in the United States. Chest pain can be noncardiac and may be attributed to multiple causes. Esophageal disorders including reflux, motility and functional conditions, affect a large proportion of patients with NCCP and lead to significant morbidity. The use of HRM has changed the diagnostic approach to esophageal motility disorders. It is the most specific and sensitive test for diagnosing motor disorders and a promising procedure in detecting dysmotility disorders in patients with NCCP. Despite the increased sensitivity of HRM, the main …

Barriers To Timely Administration Of Thrombolytics In Acute Ischemic Stroke Patients, Elizabeth Joseph

Electronic Theses and Dissertations

Stroke is a leading cause of long term disability in the United States. The therapeutic benefits of intravenous thrombolytics is time dependent in an acute ischemic stroke patient and is an important determinant of 90 day and one year functional outcomes. This study investigated areas in the stroke alert process of a community based primary stroke care center that resulted in the delay of administration of thrombolytics within 60 minutes of an acute ischemic stroke patient's arrival to the emergency room. A retrospective descriptive design was utilized and chart reviews were done on 40 patients that received thrombolytics in the …

Predictors Of Immunosuppressant Adherence In Long-Term Renal Transplant Recipients, Sandra J. Galura

Electronic Theses and Dissertations

To sustain the health and viability of renal transplants, adherence to immunosuppressant therapy (IST) medications is critical. Studies continue to identify decreased adherence rates as time from transplant increases (Chisholm-Burns, Kwong, Mulloy & Spivey, 2008; Chisholm, Lance, Mulloy, 2005; Chisholm, Mulloy, & DiPiro, 2005; Nivens & Thomas, 2009). While previous research has explored the effect of variables known to influence IST adherence in adult renal transplant recipients, limited studies have explored these variables in a population of renal transplant recipients with longer time posttransplant intervals. The purpose of this study was to examine demographic variables, time posttransplant, immunosuppressive agents, health …

Infection Control And Health Care Associated Infection (Hcai) In The Nursing Home: A Study To Determine The Impact Of An Educational Video And Pamphlet About Infection Control On Knowledge And Perception Of Hand Hygiene In Certified Nurse Assistants, Kathe Hypes

Electronic Theses and Dissertations

The impact of an education program on perception, knowledge, and infection rate was evaluated in this study. The educational intervention consisted of a video on infection control and a World Health Organization (WHO) pamphlet for hand hygiene. The study was conducted in one nursing home in the Southeastern United States. The survey sample consisted of 66 certified nurse assistants (CNAs). A pre- and post-intervention design was employed using the WHO’s Hand Hygiene Knowledge Questionnaire and the WHO Perception Survey. Friedman’s test and central tendencies showed no statistical relationship between the educational intervention and the overall knowledge scores of the sample. …

Symptom Intrusiveness, Chronic Conditions And Health-Related Quality Of Life: Development Of Conceptual And Measurement Models, Jill Marie Monfre

MUSC Theses and Dissertations

Background: The number of patients in the United States living with chronic conditions is increasing as patients are surviving conditions that were previously fatal. This increase in survival has resulted in a shift in the disease burden in the United States from infectious to chronic diseases. Many patients with chronic conditions experience associated symptoms that impact their health-related quality of life more significantly than those without associated symptoms. To enable patients to achieve what they determine to be an acceptable state of wellbeing, health care providers must first be aware of the factors and the relationships among the factors that …

Violence Permeating Daily Life: A Qualitative Study Investigating Perspectives On Violence Among Women In Karachi, Pakistan, Tazeen S. Ali, Gunilla Krantz, Ingrid Mogren

School of Nursing & Midwifery

Background: This study explored how married women perceive situations which create family conflicts and lead to different forms of violence in urban Pakistan. In addition, it examines perceptions of consequences of violence, their adverse health effects, and how women resist violence within marital life.

Methods: Five focus group discussions were conducted with 28 women in Karachi. Purposive sampling, aiming for variety in age, employment status, education, and socioeconomic status, was employed. The focus group discussions were conducted in Urdu and translated into English. Manifest and latent content analysis were applied.

Results: One major theme emerged during the analysis, …

Exploration Of Weight Gain In Female Breast Cancer Survivors, Mary Kay Johnson

All Graduate Theses, Dissertations, and Other Capstone Projects

Breast cancer is no longer a guaranteed death sentence. Many women today can look forward to a long and healthy life after treatment for breast cancer. However, weight gain is an ongoing, distressing and common problem for women treated for breast cancer. The primary purpose of this study was to gain knowledge about the phenomena of weight gain in females treated for breast cancer. A descriptive cross-sectional study was conducted in a natural setting. Sample: Electronic medical records for 100 female breast cancer survivors who visited a private suburban medical oncology clinic for treatment and/or on-going follow-up for a breast …

The Health Impacts Of Nursing Shift Work, Amanda Maria Cason Shandor

All Graduate Theses, Dissertations, and Other Capstone Projects

This descriptive pilot study was intended to evaluate negative outcomes of shift work stress in nursing. Objective analysis of waist-hip-circumference ratios (WHR) and subjective survey reports were utilized to assess whether differences existed in expressed stress, stress related health disorders, and stress associated behaviors among day shift, night shift, and rotating shift registered nurses (RNs). Statistical analysis of the WHRs indicates that no statistical difference exists in the results from this study across the three nursing shifts. Nonetheless, survey reports do suggest that variance exists between nursing shifts. For example, stress related health problems appear to be most prevalent with …

The Self-Described Experience Of Coping And Adaptation Associated With Workplace Stress Of Registered Nurses In The Acute Care Setting In Florida: An Ethnographic Study, Joyce Burr

Electronic Theses and Dissertations

Little is known about how nurses learn and use coping and adaptation skills in the workplace. Quantitative studies have identified the factors, nature, and outcomes of nursing stress. However, qualitative studies describing the human experience associated with workplace stress are lacking. The phenomenon of interest for this study using focused ethnographic method is the self-described experience of coping and adaptation associated with workplace stress of registered nurses working 12-hour shifts employed in acute care hospital facilities in east central and central Florida. Three aspects of the phenomena were examined: the self-described experiences of stress, the manner in which coping skills …

The Five P'S Of Type 1 Diabetes, Paula Elizabeth Esteva

Senior Honors Theses and Projects

No abstract provided.

In Search Of Resilience And Positive Health Outcomes In Low-Income Adolescents With Asthma, Darla Kim Dewolff

Dissertations

Asthma is a chronic lung disease of epidemic proportions affecting 24.6 million Americans, including 7.0 million children. In particular, 22% of high school students indicated a doctor or a nurse had told them that they had asthma, with 10.8% with current asthma. The disease disproportionately afflicts minority children from low-income areas. Adolescents with asthma, who live in such areas, are at particular risk for increased morbidity and mortality. The purpose of this study was to examine the degree to which the phenomenon of resilience, observed in other physical health and psycho-social contexts, may be found in adolescents with asthma exposed …

Coping Mechanisms Among Lebanese First-Time College Students, Rita Doumit

Dissertations

No abstract provided.

Adult Children's Perceptions Of Critical Caregiving Conversations With Their Aging Parents: A Pilot Study, Wendy S. Cregg

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this qualitative pilot study was to describe adult children's perceptions of critical caregiving conversations between themselves and their aging parents; barriers to these conversations; factors that facilitate these conversations; and the support from health care providers that adult children believe would help facilitate critical caregiving conversations between themselves and their aging parents. The overall purpose was to increase understanding of family communication processes that promote health as families age. Focus group interviews using a semi-structured interview guide were conducted with 16 adult children with caregiving experience of their aging parents. Data analysis was conducted utilizing Leininger's phases …

Exploratory Analysis Of The Relationship Between Present-On-Admission Factors Of Adult Inpatients And Risk For Needing A Rapid Response Team Intervention During Hospitalization, John Dixon

Nursing Dissertations - Archive

Knowledge of how intrinsic present-on-admission patient factors such as age, gender, and pre-existing comorbid conditions contribute to patient risk during hospitalization is an important aspect for clinicians to consider when developing individualized plans of care based on patient needs. Health care providers could use such knowledge to screen and identify higher risk patients upon admission to the hospital. For those patients, the health care team could provide greater surveillance and vigilance in observation and monitoring. Such proactive interventions may reduce or avoid the occurrence of patient deterioration or need for a Rapid Response Team (RRT) intervention during hospitalization and thus, …

The Meaning Of Homelessness To Homeless Women Veterans, Robin E. Keene

Nursing Dissertations - Archive

Homelessness in America continues to be a pervasive problem, with veterans being disproportionately represented in this population. As the Iraq/Afghanistan war soldiers return to civilian life, worries about this population and the risk of homelessness is growing. Female soldier's roles in the military have expanded throughout the years and now include many combat roles, thus exposing them to the risks associated with combat. Female soldiers are twice as likely to have Post Traumatic Stress Disorder (PSTD) than their male counterparts and are three to four times more likely to become homeless. Female homeless veterans have typically been excluded from participation …

Extent Of Hiv Stigma Among Hiv Positive Healthcare Workers: A Mixed Methods Approach, Jackline Gloria Opollo

Nursing Dissertations - Archive

Regardless of practice settings, healthcare workers (HCWs) in Sub-Saharan Africa are either infected or affected by HIV/AIDS. This mixed methods study measured the extent of HIV/AIDS stigma and the relationship between stigma and sociodemographic variables in a sample of 76 HIV positive HCWs. Qualitative aspects (n=20) explored how HIV positive HCWs manage personal health, stigma experiences in the workplace, and the HCWs role in reducing stigma in the workplace. Overall, HIV positive HCWs in this study experienced low stigma levels (Mean= 7.88, SD 12.90). Subscale means ranged from 0.09 (SD 0.28) for workplace stigma to 0.39 (SD 0.62) for verbal …

Development Of A Communication Intervention To Assist Hospitalized Suddenly Speechless Patients, Carmen S. Rodriguez, Meredeth A. Rowe, Brent Koeppel, Loris A. Thomas, Michelle S. Troche, Glenna Paguio

Nursing Faculty Publications

Healthcare staff face significant challenges while caring for hospitalized patients experiencing sudden inability to verbalize their needs (sudden speechlessness). Familiar methods of communication such as non-verbal strategies are limited and often fail to assist suddenly speechless patients (SS) communicate their needs. Consequently, strategies tailored to the needs of hospitalized speechless patients are necessary, and must consider factors intrinsic to the patients and the complexities of the acute care environment. The feasibility and usability of a multi-functional prototype communication system (speech-generating device) tailored to the needs of hospitalized SS patients was evaluated in this pilot study. Adult SS patients admitted to …

College Of Allied Health And Nursing R.N. To B.S.N., R.N. To M.S.N 2012 Entering Class, Nova Southeastern University

Health Professions Divisions Course Catalogs and Course Descriptions

No abstract provided.

Characteristics Of All-Terrain Vehicles And Their Operators On Kentucky Farms, Jessica L. Wilson

Theses and Dissertations--Nursing

All-terrain vehicles (ATVs) were first developed and marketed in the U.S. in the 1970s. They have soared in popularity for occupational and recreational uses since that time. In 2008, there were approximately 10.2 million all-terrain vehicles (ATVs) in use in the United States. In 2001, it was estimated that 23 million Americans rode ATVs; 69% were adults and 31% children (CPSC, 2003). Deaths and injuries from ATVs have increased over time. According to the U.S. Consumer Product Safety Commission, Kentucky led the nation for ATV deaths from 2002-2006, with increasing numbers of fatalities annually.

ATV use on farms is increasing …

Which Providers Can Bridge The Health Literacy Gap In Lifestyle Risk Factor Modification Education: A Systematic Review And Narrative Synthesis, S Dennis, A Williams, J Taggart, A Newall, E Denny-Wilson, N Zwar, T Shortus, M Harris

Nursing Papers and Journal Articles

Background: People with low health literacy may not have the capacity to self-manage their health and prevent the development of chronic disease through lifestyle risk factor modification. The aim of this narrative synthesis is to determine the effectiveness of primary healthcare providers in developing health literacy of patients to make SNAPW (smoking, nutrition, alcohol, physical activity and weight) lifestyle changes.

Methods: Studies were identified by searching Medline, Embase, Cochrane Library, CINAHL, Joanna Briggs Institute, Psychinfo, Web of Science, Scopus, APAIS, Australian Medical Index, Community of Science and Google Scholar from 1 January 1985 to 30 April 2009. Health literacy and …

Identifying Patient's Reasons Or Rationales For Choosing To Skip Or Shorten Hemodialysis, Linda Marie Lindberg

All Graduate Theses, Dissertations, and Other Capstone Projects

Missed dialysis treatment time has potential to increase morbidity and mortality and reduce life expectancy for people with End Stage Renal Disease (ESRD) who are dependent on hemodialysis (HD) to live. The purpose of this study was to identify some of the reasons that hemodialysis patients provide when explaining their decision to skip or shorten their prescribed HD treatment time by providing ESRD patients with the opportunity to give voice to their perspectives. A secondary purpose of this project was to increase the health care provider's understanding of the HD patient's perspectives and reasons for choosing to skip or shorten …

Nurses' Knowledge Of Heart Failure Education Topics At A Regional Midwestern Hospital, Catherine Joy Standfuss

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this capstone project was to better understand Registered Nurses' knowledge level of commonly taught heart failure education topics. Heart failure is a large reason for hospital readmissions, and subsequently, a major contributor to rising health care costs. Research for this project was completed at a Regional Midwestern hospital using a questionnaire consisting of 20 knowledge questions. Registered nurses working on three separate units with high volumes of heart failure patients were invited to participate. Sixty-nine nurses responded to the survey and obtained an average score of 16.67 out of a possible 20, or 83%. Nurses work in …

Acute Clinical Conditions Of School-Aged Children In A Rural Kenyan Community, Nicolle A. Koester, Karen M. Parker, Vivian Cunningham, Christine R. Birnie

Pharmacy Faculty/Staff Publications

No abstract provided.

Does Self-Efficacy Influence The Application Of Evidence-Based Practice?, Kathleen Abrahamson, Priscilla Arling, Jenna Gillette

Scholarship and Professional Work - Business

Background: Implementation of Evidence-Based Practice (EBP) is complex and consequently, even within organizations that have made efforts to promote EBP use, EBP is often underutilized by individual clinicians.

Purpose: The aim of our study was to better understand the relationship between self-efficacy and EBP implementation in clinical environments that have undergone efforts to increase EBP utilization. We suggest that EBP is a set of behaviors that result from individuals acquiring, applying, and sharing new knowledge with others in the organization. We hypothesize, based upon a social cognitive theoretical approach, that these behaviors are influenced by clinician perception of self-efficacy.

Methods: …

Ubiquitous Learning Laboratory For Pediatric Nursing: A Cultural Algorithm Approach, David Lee Colon

Wayne State University Theses

ABSTRACT

UBIQUITOUS LEARNING LABORATORY FOR PEDIATRIC NURSING: A CULTURAL ALGORITHM APPROACH

by

DAVID L. COLON

December 2012

Advisor: Dr. Robert G. Reynolds

Major: Computer Science

Degree: Master of Science

Quality Medical Care is at the focus of all health care service providers. Each facility maintains a standard level of care that promises not only a precise diagnosis, but also the correct course of treatment. In part, this is due to the educational training and professional experience of Nurses. For high-risk patients such as children, the level of expertise of a Pediatric Nurse is even more critical in order to guarantee …

Itch Occurring With Chronic Wounds, Julia Claire Paul

Wayne State University Dissertations

Abstract