Medicine and Health Sciences Commons^™

Effectiveness Of Probiotics In Preventing Antibiotic Associated Diarrhea And Clostridium Difficile In Long Term Care, Marva Edwards-Marshall

Electronic Theses and Dissertations

Problem/Purpose: Antibiotic associated diarrhea (AAD) and clostridium-difficile diarrhea (CDAD) are the most common forms of infectious diarrhea in long-term care facilities. The purpose of this study was to determine the effectiveness of probiotics in preventing AAD and CDAD in the long term care geriatric population, and to identify interventions that can be used to improve clinical practice. Background/Significance: Prophylactic use of probiotics have been purported to decrease the incidences of AAD and CDAD. Previous studies have yielded contradictory results on the efficacy of probiotics. The objective of this study was to evaluate the impact of administration of probiotics on the …

A Phenomenological Description Of The Lived Experience Of Creating Art For Women With Breast Cancer, Laurie Stark

Electronic Theses and Dissertations

Conventional approaches to cancer treatment typically do not address the personal experiences of the women with breast cancer. The aim of this study was to develop a structural description of the lived experience of women with breast cancer who create art, specifically through painting, sketching or drawing. A phenomenological approach was employed to explore the meaning of creating art for four women with a diagnosis of breast cancer. The philosophical underpinnings for this study were based on the phenomenological method of bracketing which allows the researcher and subjects to focus on lived experience. This qualitative methodology provided a means to …

A Survey Comparing The Attitudes Toward Perinatal Bereavement Care Of Nurses From Three Asian Cities, Moon Fai Chan, Feng-Lan Lou, David Arthur

School of Nursing & Midwifery

Caring for parents whose infant has died is extremely demanding, difficult, and stressful. In some situations, nurses may experience personal failure, feel helpless, and need to distance themselves from bereaved parents because they are unable to deal with the enormity of the parental feelings of loss. The aim of the study was to describe and compare attitudes toward perinatal bereavement care across a sample of nurses working in five obstetrics and gynecology settings from three Asian cities, as well as the factors associated with these attitudes. A survey was conducted, and 573 nurses were recruited from 2006 to 2007. The …

The Mds Mortality Risk Index: The Evolution Of A Method For Predicting 6-Month Mortality In Nursing Home Residents, Davina Porock, Debra Parker-Oliver, Gregory F. Petroski, Marilyn Rantz

Publications and Research

Background: Accurate prognosis is vital to the initiation of advance care planning particularly in a vulnerable, at risk population such as care home residents. The aim of this paper is to report on the revision and simplification of the MDS Mortality Rating Index (MMRI) for use in clinical practice to predict the probability of death in six months for care home residents.

Methods: The design was a secondary analysis of a US Minimum Data Set (MDS) for long term care residents using regression analysis to identify predictors of mortality within six months.

Results: Using twelve easy to collect …

Undergraduate Student Catalog 2010-2011, Nova Southeastern University

Undergraduate Programs Course Catalogs

No abstract provided.

The Nursing Clinical Instructor's Rationale, Preparation, And Meaning For The Post-Clinical Conference, Joseph Michael Mucha

Dissertations

Purpose

Nursing education is a complex combination of classroom and clinical instruction. The clinical portion is usually divided into the pre-clinical conference, direct care, and the post-clinical conference. Many goals are listed in the literature as learning outcomes for the post-clinical conference. The purpose of this study was to describe the most important goals, meaning, rationale, and preparation for the post-clinical conference by clinical nursing instructors in associate degree and baccalaureate degree programs.

Method

This study used a survey design with an instrument developed to identify clinical nursing instructors’ meaning, rationale, and preparation for the post-clinical conference. Two open-ended questions …

Moral Distress And Avoidance Behavior In Nurses Working In Critical Care And Non-Critical Care Units, Mary Jo De Villers

Dissertations

Significance: Nurses facing impediments to what they perceive as moral practice may experience inner turmoil, frustration, and moral distress. These scenarios may culminate in resignation from employment at the individual level, increased attrition at the systems level, and poor patient outcomes, including increased morbidity and mortality.

Purpose: To explore the relationships between moral distress and avoidance thoughts and behavior between nurses currently practicing in critical care and non-critical care settings.

Methods: A descriptive cross-sectional comparative design was used. The sample was comprised of a randomized subset of 370 critical care nurses, a convenience sample of 87 nurses from a nursing …

Depressive Symptoms In Women Being Screened For Cardiovascular Disease Risk, Suzanne Marie Savoy

Dissertations

Background: Depressive symptomology is an independent risk factor for cardiovascular disease. Over 15% of persons with cardiovascular disease have depressive symptoms, and women are twice as likely to experience these symptoms as men. Depressive symptoms in women “ at risk ” for cardiovascular disease has not been well studied.

Purpose: This study investigated the relationship between depressive symptoms, health-promoting lifestyle behaviors, heart disease risk awareness, cardiac risk, and quality of life in women at risk for cardiovascular disease. Whether the effect of depressive symptoms on quality of life was mediated by cardiac risk and/or health-promoting lifestyle behaviors was also examined. …

Pediatric Nurses' Journeys To Relieve Children's Post-Operative Pain, Renee C.B. Manworren

Nursing Dissertations - Archive

This study sought to bridge the gap of nurses' knowledge of pain management and translation into clinical practice by describing pediatric nurses' negotiation of the bureaucracy of caring. The purpose of this study was to describe factors that influenced pediatric nurses' actions to relieve children's acute post-operative pain on a pediatric post-surgical care unit. The bureaucracy of caring provided the theoretical framework. A qualitative descriptive study of human factors engineering and ethnography was used to quantify the impact of influential variables on time from assessment to intervention. Few knowledge deficits were identified; but nurses' general knowledge and attitudes regarding pain …

Factors Affecting The Relocation And Transition Of Internationally Educated Nurses Migrating To The United States Of America, Kristina Sylvia Ibitayo

Nursing Dissertations - Archive

A paucity of research studies and systematic reviews have been conducted on IEN nurse migration experiences in the US. The number of IENs in the US RN workforce is projected to continue growing. Therefore, studies on nurse migration and IEN relocation and transition experiences are essential. This exploratory descriptive study on the transition conditions and professional satisfaction of nurses migrating to the US provides information on the complex pull and push factors affecting nurse migration. This study described the push factors, pull factors, personal characteristics, motivation to migrate, transition conditions, family/social environment, work environment, and professional satisfaction of IENs in …

The Combined Effect Of Tiotropium And Formoterol On The Functional Status Of Patients With Moderate-To-Severe Copd, Catherine Dean Stengele Jones

Nursing Dissertations - Archive

This double blinded placebo controlled pilot study examined the use of combined inhaled medication for patients with moderate-to-severe COPD. The inhalation of formoterol versus placebo was studied when combined with the routine use of tiotropium. Maximizing bronchodilitation through the use of combination inhaler therapy is felt to be superior to the use of a single inhaled medication, yet few studies are found in the literature. Currently the Global Initiative for Obstructive Lung Disease (GOLD) recommends the use of combination inhaled therapy in patients with moderate-to-severe COPD. This study of 18 patients with moderate-to-severe COPD measured the effects on the functional …

Exploration Of The Cultural Beliefs In Mexican American Young Adult Childhood Cancer Survivors And Their Decisions To Engage In Cancer Screening Behaviors, Lisa Bashore

Nursing Dissertations - Archive

Gaps in the literature exist exploring the cultural beliefs and the cancer screening practices in Mexican American (MA) young adult childhood cancer survivors (YACCS). Lack of representation of MA in past survivor research is one reason for the gaps in knowledge about the beliefs in MA survivors, and the current study is the beginning of the examination of the cultural beliefs in MA YACCS and how these beliefs influence their decisions about cancer screening. Kleinman's (1978) cultural explanatory model (CEM) approach served as the conceptual framework in which this study was conducted. Survivors were recruited from the investigators institution where …

Exploring The Experiences Of Resilience In Muslim Afghan Refugee Children, Zeenatkhanu Kanji, Brenda L. Cameron

School of Nursing & Midwifery, East Africa

The aim of this study was to explore the experiences of Muslim Afghan refugee children living in Canada. War has an impact on a child's life, including education and protection by the family and community. The actual course of events of war can never be told completely due to the occurrence of simultaneous adversities. Hermeneutic photography was used to understand the experiences of Afghan children. Data were collected through photo conversations. Building and sustaining resilience was a theme that emerged from the data analysis. The findings of the study provide a useful guide for education, practice, and policy development to …

Childhood Home Injuries: A Nursing Student Approach To Preventing Childhood Home Injuries, Jinging Sparrow, Katherine Carman, Katelyn Kerr, Renee Farmer

OUR Journal: ODU Undergraduate Research Journal

Unintentional injuries are the leading cause of death for children under 14 years of age. Of the unintentional injuries, a significant portion occurs within the home setting. Creating a safe home environment for children has become a focus in current efforts for health promotion and injury prevention. Our objective is to enhance caregivers’ knowledge of home safety thus decreasing the incidence of childhood unintentional injuries. To this end, a series of educational workshops were conducted on poisoning, choking, furniture tip-over, scalds and burns. The material was presented via PowerPoint, videos, posters, handouts, demonstrations and return demonstrations. Verbal pre-and post tests …

Facilitating Factors And Barriers To Bmi Screening In Schools, Ann M. Stalter, Rosemary V. Chaudry, Barbara J. Polivka

Nursing Faculty Publications

The National Association of School Nurses advocates for body mass index (BMI) screening. Little research describes school nurse practice of BMI screening. In this descriptive study, 25 Ohio school nurses participated in three focus groups. An adapted Healthy People 2010 Determinants of Health Model guided the research questions. School nurses engaged in multiphasic data collection which was contingent on physical environment, workload, and referrals. Lack of system policy was key barrier in terms of data collection, referral, and follow-up. A key facilitating factor was physical education teachers in terms of reinforcing health. School size and privacy were components of school …

Entry-Level Clinical Nurse Leader: Evaluation Of Practice, Eira Ilse Klich-Heartt

Doctor of Nursing Practice (DNP) Projects

The Clinical Nurse Leader (CNL) is a master-prepared generalist accountable for patient outcomes through application of evidenced-based practice at the microsystem level. Accelerated nursing programs are educating entry level nurses as CNLs in a novel Model C program. This doctoral project evaluates entry-level master’s CNL graduates with the CNL end-of-program competencies to determine whether these graduates are able to have positive effects on patient, systems, and leadership outcomes in clinical settings.

Newborn Umbilical Cord Care: An Evidence Based Quality Improvement Project, Janeen Marie Whitmore

Doctor of Nursing Practice (DNP) Projects

No Abstract Available

Care, Culture, And Education Nursing Students' Perceptions Of Care And Culture: Implications For Practice, Pauline Rita Wright

Educational Studies Dissertations

Today's nurses work and live in a multicultural society where they encounter patients whose backgrounds are different from theirs, and who need care from nurses who are both proficient in their work and knowledgeable about the role that culture plays in patient treatment. In this study, 45 student nurses enrolled in a baccalaureate program at a northeastern urban college completed a survey about their perceptions of care and culture including their relevance and application to the practice of nursing. Findings based on qualitative analyses indicated that parents and family were instrumental in students' learning about care and a combination of …

Patients Safety Culture: A Baseline Assessment Of Nurses' Perceptions In A Saudi Arabia Hospital, Ahmad E. Aboshaiqah

Wayne State University Dissertations

ABSTRACT

PATIENT SAFETY CULTURE: A BASELINE ASSESSMENT OF NURSES' PERCEPTIONS IN A SAUDI ARABIA HOSPITAL

by

AHMAD E. ABOSHAIQAH

May 2010

Advisor: Dr. Stephen J. Cavanagh

Major: Nursing

Degree: Doctor of Philosophy

Patient safety (the avoidance and prevention of patient injuries or adverse events resulting from the processes of health care delivery) has become a major academic and public concern in healthcare. In order to promote and sustain a culture of safety in a healthcare organization, healthcare professionals stress the need to understand both individual and system contributions to error events. However, in Saudi Arabia, little is known about nurses' …

Dependability And Accuracy Of Clinical Performance In Nursing Examination Scores, Laurie Vanessa Nagelsmith

Legacy Theses & Dissertations (2009 - 2024)

The purpose of this study is to determine the dependability and accuracy of Clinical Performance in Nursing Examination (CPNE®) scores obtained from trained raters. Intraclass correlations were calculated to estimate interrater agreement. Accuracy of scores was determined by identifying percent accuracy for each scored element. Generalizability (G) coefficients were calculated to estimate sources of variance in CPNE scores. The population for the study is adjunct faculty at Excelsior College who agreed to participate in the study and are clinical examiners trained as raters for the CPNE

The Future Of The Profession Of Nursing And The Doctorate Of Nursing Practice : Challenges And Opportunities For Advanced Practice Nurses In Academia, Health Care Advocacy And Independent Practice, Arlene M. Pericak

Legacy Theses & Dissertations (2009 - 2024)

your words

Gender Differences In Fatigue Associated With Acute Myocardial Infarction, Ann Eckhardt, Michelle Fennessy, Anne Fink, Jessica Jones, Donna Kruse, Kathryn Vanderzwan, Catherine Ryan, Julie Johnson Zerwic

Scholarship

Fatigue is a symptom of acute myocardial infarction (AMI); however, few studies have characterized the fatigue associated with AMI in men and women.

Improving Quality Care Goals Through Diabetes Collaborative Rounds On An Exemplary Care And Learning Site, Stacey Smith Md, Facp, Marc Shalaby Md, Facp, Joyce Najarian Msn, Rn, Cde, Gretchen A. Perilli Md, Krista Casey Mba

Department of Medicine

No abstract provided.

Multidisciplinary Survivorship Care, Sue N. Gardner Rn, Msn, Crnp, Aocnp, Gregory Harper Md, Phd, Dorothy Morrone Rnc, Ms, Ocn, Jennifer Brennan Rd, Cso, Andrea Geshan Rn, Msw, Diane Brong Lcsw, Jennifer Roeder Mspt, Mba

Department of Medicine

No abstract provided.

The Experience Of Chronic Pain As Described By African American Indigent Adults Attending An Urban Primary Care Clinic, Jamie Alexandra Crawley

Wayne State University Dissertations

Background: Inadequate chronic pain control has far-reaching implications including costs for missed time at work; utilization of health care resources and reduced quality of life. People at highest risk for inadequate pain control include indigent adults and minorities. Newman's theory health as expanding consciousness views the chronic pain experience as a life pattern within health. Qualitatively examining chronic pain from participants' perspectives may improve chronic pain care.

Purpose: The purpose of this study was to examine the experiences of chronic pain as described by African American indigent adults attending an urban, primary care clinic.

Methods: 13- participants (7 men and …

Grades In Prerequisite Courses As Predictors Of Success In A Nursing Program, Elaine Zeilke Foster

Dissertations

Problem: The U.S. Bureau of Labor Statistics forecast that by 2016 more than one million new and replacement nurses will be needed to fill jobs in the health care field . In order to meet the medical needs of a changing society, schools of nursing must continue to educate and graduate significant numbers of nurses. This may be done by increasing the success rates of those who are admitted in nursing programs. Success rate is thought to be related to admission criteria used to admit students which, in turn, may reduce attrition rate, which is between 20 to 40% in …

The Lived Experience: Pulmonary Arterial Hypertension And Intravenous Prostaglandin Therapy, Phyllis D. Boone

Masters Theses

A descriptive phenomenological study was proposed to obtain a subjective description of the experience of living with intravenous prostaglandin treatment for pulmonary arterial hypertension. It was intended to determine what kinds of elements are common to the experience with study participants, to develop an aggregate structure of the experience from the individual descriptions of it, and add to what is now known about this phenomenon. It was anticipated that the stories told by the participants could help to determine how nurses can assist future patients to live optimally within the confines of a palliative treatment for this incurable illness.

Unfortunately, …

Jump In With Both Feet, The Waters Get Warmer Over Time!, Catherine Tieva

Book Chapters

First Paragraph:

Nursing research, evidence-based practice, literature reviews, meta-analysis, correlations, control and experimental groups, and validity. Terms like these used to make the hair on the back of my neck stand on end. My palms would break into a sweat, and if ever I felt inadequate as a nurse, it was in the area of nursing research. I would listen to advanced practice nurses, master's-prepared nurses and doctorate-prepared nurses discussing research and feel totally inadequate. It didn't matter that at the time, I had 16 years of experience or that I was currently working as a nurse manager. Nursing research …

The Impact Of Pre-Operative Mupirocin Prophylaxis On Surgical Site Infections In Same-Day Admission Open Heart Patients, Joanna Gerry

Electronic Theses and Dissertations

The CDC estimates that one in 20 patients admitted to the hospital is a carrier of methicillin-resistant Staphylococcus aureus (MRSA). Staphylococci are commonly found on the skin and mucous membranes within the anterior nares, which provides the principle reservoir for this organism. These organisms can go on to cause surgical site infections in hospitalized patients. Mupirocin is an effective topical medication used to eliminate nasal carriage of Staphylococcus aureus (S. aureus). Based on Level A evidence, the 2007 Society of Thoracic Surgeons has made a Class I recommendation for the use of mupirocin for all patients undergoing cardiac surgery in …

Prevalence Of And Risk Factors For Intraoperative Non-Euglycemia Events In Premature Neonates >2500 Grams, Zulay Ritrosky

Electronic Theses and Dissertations

This study examined the rates and risks of premature neonates >2500grams developing intraoperative non-euglycemia events (IONEE). A retrospective chart review of 26 premature neonates >2500 grams who underwent surgical procedures between January 1 and December 31, 2009 was conducted. Statistical analysis was done using Chi square and t-tests. Ten of the 26 subjects (38%) experienced an IONEE. Hyperglycemia was the primary IONEE that was noted in the neonates. (Mean: 143.19; sd: 56.041) Length of surgery was significantly longer in those premature neonates with IONEE than those with euglycemia (71.7 0± 27.03 vs. 45.62 ± 17.98 minutes). All IONEE subjects received …