Medicine and Health Sciences Commons^™

The Relationships Among Satisfaction With Social Support, Perceived Stress, And Coping On Quality Of Life And Survival At 5 To 10 Years After Heart Transplantation, Connie White-Williams

All ETDs from UAB

Introduction: Detailed information regarding satisfaction with social support and its relationship with quality of life (QOL) and survival 5 to 10 years (yrs) after heart transplantation (HT) is unknown. The purpose of this study was to examine the relationships among satisfaction with social support perceived stress, and coping with QOL and survival of patients (pts) who were 5 to 10 years post heart transplantation. Methods: This study was a retrospective outcome analysis from data collected from two existing data sets: The HT QOL Study and the Cardiac Transplant Research Database (CTRD). Institutional Review Board approval was obtained. Data on 555 …

Parenting Behaviors And Adolescent Obesity, Kathy Lynne Newman

All ETDs from UAB

PARENTING BEHAVIORS AND EARLY ADOLESCENT OBESITY KATHY NEWMAN SCHOOL OF NURSING ABSTRACT The incidence of adolescent obesity has more than tripled in the past 30 years with the rate increasing from 5% to 17%. Approximately 17.0% of adolescents in the United States are obese with 4% being categorized as morbidly obese. Obesity disproportionately affects minority adolescent groups. Previous studies have examined relationships between parental behaviors and adolescent health risk behaviors, but few studies have compared these relationships across different racial/ethnic groups. The purpose of this study was to examine the relationships between parental nurturance, parental involvement, family cohesion, and early …

Fiber’S Impact On High-Sensitivity C-Reactive Protein Levels In Cardiovascular Disease, Renea L. Beckstrand, Jennifer L. Butcher

Faculty Publications

The purpose of this study was to determine if increased dietary or supplemental intake of fiber slows or prevents inflammation as evidenced by hs-CRP values.

Implications For Nursing Practice: Delivering The Folic Acid Message, Kimberly Townsend Little

UNLV Theses, Dissertations, Professional Papers, and Capstones

In 1995, North Carolina (NC) had one of the highest prevalence rates of neural tube defects (NTDs) in the United States. Since the NC Folic Acid Council began focusing their efforts on educating women of childbearing age regarding NTDs in 1994, the prevalence of NTDs has declined overall by 40%; however, NTD prevalence among Hispanics in NC continues to be double the rate of non-Hispanics. Research has found daily consumption of a multivitamin with folic acid significantly decreases NTDs. Healthy People 2010 include in their objectives the need to increase folic acid consumption in women and reduce the NTD rates. …

Filipino Physician-Turned Nurses: A Phenomenological Study, Victor Rey Cui Vapor

UNLV Theses, Dissertations, Professional Papers, and Capstones

Foreign nurses have augmented the United States nursing workforce. The Philippines has remained the world's leading exporter of nurses, including the United States. More recently, a new phenomenon has emerged involving Filipino physicians who went back to school to take up nursing in the Philippines in order to migrate to foreign countries to work as nurses. The purpose of this study was to describe and to interpret the lived experiences of Filipino physician-turned nurses in the United States. Phenomenology was used as research design, with data obtained from a purposive sample of eight (8) self-identified physician-turned nurses in Las Vegas, …

Understanding Why Professional Nurses Work, Patricia Rushton, Dennis L. Eggett

Faculty Publications

The project studied factors impacting professional registered nurses in maintaining active employment. Participants chose to enter the nursing profession to provide service. They were motivated to stay in the nursing profession in an employed situation to 1) provide financial support of themselves and their families,and 2) from a desire to serve. Respect as individuals was motivation to do their best work. The results of the study reinforce the desire of the nursing profession to serve its clients and patients. The results demonstrate the committment of registered nurses to the nursing profession. They also demonstrate the desire of professional nurses to …

The Effect Of Leadership Skill-Building On Nurse Leader Behaviors, Barbara Drummond-Huth

UNF Graduate Theses and Dissertations

Patient outcome data are an important factor in healthcare. Reports by the Institute of Medicine between 1999 and 2001, as well as recent research by Linda Aiken and her colleagues have added more emphasis to measures that can be taken to improve patient outcomes. Because of the role they play in healthcare facilities, nurse leaders are in a position to take the lead in improving patient outcomes. There is evidence to suggest that nurse leaders' transformational leadership behaviors are associated with positive patient outcomes.

The purpose of this project was to identify the effect of transformational leadership skill-building training on …

Engaging Students In The Fundamental Skill Lab: Scenario Based Simulations, Deborah O. Himes, Patricia K. Ravert, Colleen R. Tingey

Faculty Publications

Aims of this study: Students will be actively engaged in the basic nursing skills lab and develop critical nursing behaviors including:

- Assessment/ Intervention/ Evaluation

- Critical Thinking/ Clinical Decision Making

- Direct Patient Care

- Communication/ Collaboration

- Professional Behaviors.

Students will also remember more of what they learn through story-telling (patient cases) and role-playing. They will come prepared to perform as a nurse in lab.

Implications For Nursing Involvement In Health Care Reform: An International Comparison, Erin Mccuen

Honors Theses

In this paper, a comparison of two countries' approaches to deliver healthcare services to their people and the practice of professional nursing will be presented. The report is based on a study abroad course where data were gathered about the two countries and included a ten day tour of Slovakia meeting many healthcare leaders and nursing students. A pictorial presentation of this report is attached (See Appendix) as evidence of the comparisons between the two health care systems. The United States of America and the Republic of Slovakia are two countries that have particularly interesting healthcare delivery and nursing practice …

Successfully Incorporating Writing Across The Curriculum With Advanced Writing In Nursing, Karlen E. Luthy, Neil E. Peterson, Jane H. Lassetter, Lynn C. Callister

Faculty Publications

The purpose of this article is to explain the concepts of Writing Across the Curriculum, Writing in the Disciplines, and Writing to Learn, and to describe the incorporation of advanced writing into a baccalaureate nursing program and provide suggestions for accessing resources and promoting success. The goals of incorporating Writing Across the Curriculum, Writing in the Disciplines, and Writing to Learn concepts into nursing curriculum are to assist nursing students to achieve competence in clinically relevant writing assignments; to demonstrate critical thinking and communication skills, both oral and written; to execute useful literature searches; to read and understand research reports; …

Apgar Scores And Oxygenation Levels: A Comparison Of Vaginal And Cesarean Section Modes Of Delivery, Allison Holt, Patricia K. Ravert

Faculty Publications

The purpose of this study was to compare Apgar scores and oxygenation levels (two measures of birth outcomes) of well infants born by Cesarean section (c-section) to those delivered vaginally.

Examining The Relationship Of Accurate Esi© Triage Scores To Emergency Department Nursing Attitudes And Experience, Andrew Martin Bsn, Rn, Phrn, Cen, Anne Panik Ms, Rn, Nea-Bc, Courtney Vose Rn Msn Cen, Charlotte Buckenmyer Rn, Ms, Paul Delpais Rn Bsn Cen, Keith D. Micucci Rn Bsn Phrn Cen, Bryan G. Kane Md, Kimberly Badillo Rn, Michele Oritz Rn Bsn Cen, Cheryl Celia Rn Crnp, Michael Guelzow Bsn Cen, Eileen Bechtel Rn, Maria Cruz Rn, Nikki Hatmaker-Garris Rn, Bsn, Traci Dickson-Watner Rn. Bsn, Elizabeth Karoly Rrt Mba, Mae Ann Pasquale Phd, Msn, Rn, Carolyn L. Davidson Rn Ccrn Cprn Phd©

Patient Care Services / Nursing

No abstract provided.

Is A School Based Educational Program Effective In Changing Knowledge Regarding The Prevention Of Shaken Baby Syndrome?, Margaret Kay Stelzel

Dissertations (1934 -)

Shaken baby syndrome (SBS) involves physiological and neuropsychological sequelae secondary to parental or caregiver handling of an infant or young child (Goldberg & Goldberg, 2002). According to the American Academy of Pediatrics (APA) (2001), non-accidental head injuries are the leading cause of traumatic death and cause of child abuse fatalities. The prognosis is extremely poor with a death rate of 26-36% and up to 78% of the survivors suffer long-term disability (Barlow & Minns, 2000). According to Prevent Violence Against Children Act, 2005 Wisconsin Act 165; SECTION 7.121.02(1)(L)6 educational SBS requirements are mandated, effective school year 2007-2008. Two instrument development …

Efficacy Of A Behavioral Intervention To Decrease Medication Transcription Errors Among Professional Nurses, Kathleen Ann Becker

Dissertations (1934 -)

The purpose of this study, guided by Donabedian's structure-process-outcome model, was to evaluate if a cognitive-behavioral education intervention would decrease medication transcription errors among professional nurses when admitting patients 65 years of age or older on 5 or more prescribed medications to a hospital. The conceptual framework for this study is derived from Donabedian's structure-process-outcome health model. The premise suggests improving the structure or process of a system can improve health outcomes. My intervention (cognitive behavioral education), specifically influences the process of medication history obtainment which improved medication error score. In this study, a randomized intervention design was used where …

Understanding Relationships In Health Related Quality Of Life For Parents Of Children With Autism Spectrum Disorder, Norah Louise Johnson

Dissertations (1934 -)

Nurses encounter many parents of children with autism spectrum disorder (ASD). Both parents are under stress that ultimately impacts their health related quality of life (HRQL). Few studies assess the mediators of parenting stress on HRQL for both parents. This study explored the relationship of parenting stress, family functioning and HRQL for parenting dyads of children with ASD. Lazarus and Folkman's (1984) Transactional Model of Stress and Coping and Lakey and Cohen's (2000) Social Support Theory framed the study.

Implementing a cross sectional, descriptive design, 387 parents (n=64 dyads) of ASD-affected children, from 46 states, completed web-based surveys. Demographics, the …

Exploration Of African American Women’S Infant Feeding Choices, Karen Marie Robinson, Leona Vandevusse

College of Nursing Faculty Research and Publications

It is well documented in the literature that breastfeeding is more beneficial for infants and mothers than is formula feeding. Yet, African-American women are least likely to initiate and continue breastfeeding compared to other ethnic groups. Few studies have examined African-American women's infant feeding choices from the women's perspectives. Therefore, the purpose of this

exploratory study was to examine African-American women's infant feeding choices with individual narrative interviews at 3 weeks postpartum. Five African-American women participated. After coding and analyzing the narrative interviews, three major themes with sub-themes emerged that identified influencing factors on participants' choices and their opinions about …

Relationship Found Between Parenting Styles And Sibling Relationships In Families Raising A Child With A Disability, Corinne Jackman, Barbara L. Mandleco

Faculty Publications

The purpose of this study was to examine parental perceptions of parenting styles and sibling relationships according to parent gender, sibling gender, and type of disability. Additionally, the purpose was to determine if there is a linkage between parenting styles and sibling relationships.

Glimpse Into Simulation And Critical Thinking: A Pilot Study Comparing Utah And Ecuador, Katrina Duncan, Patricia K. Ravert

Faculty Publications

Classroom learning is practiced and applied through simulation, which can help develop critical thinking and clinical judgment skills imperative in clinical settings for both students and new nurse graduates. Simulation is well developed in the United States but is in early stages of use and development in South America.

Cultivating An Understanding Of U.S. Veterans: Our Honored Patients, Tausha Allen, Kent D. Blad, Jennifer Bloomfield, Rachel Dudley, Kelsie Egan, Ron S. Ulberg

Faculty Publications

As nursing students, we specifically chose to devote our time to learning how to better care for the veteran population. We worked with veterans as we traveled to Washington, D.C. and completed clinical experiences in Utah. These experiences greatly altered our perspective toward the armed forces and our appreciation for our nation’s freedom.

Community/Public Health Nursing Practice Leaders' Views Of The Doctorate Of Nursing Practice, Susan M. Swider, Pamela F. Levin, Julia M. Cowell, Susan Breakwell, Pearl Holland, Janet Wallinder

College of Nursing Faculty Research and Publications

ABSTRACT Objectives: This paper presents thoughts of practice leaders in the community/public health nursing (C/PHN) specialty on advanced nursing practice (ANP) and the necessary educational preparation for such practice.

Design and Sample: Practice leaders were engaged in conversations specifically focused on the Doctor of Nursing Practice (DNP) as preparation for ANP in their specialties, and asked to consider the benefits of, and challenges to, this educational program.

Measures and Results: The resulting remarks were then assessed for themes by the interviewers and these are presented along with thoughts on the future of education for ANP.

Conclusion: Overall, there was much …

Parental Hesitation As A Factor In Delayed Childhood Immunization, Karlen E. (Beth) Luthy, Renea L. Beckstrand, Neil E. Peterson

Faculty Publications

Introduction: One reason for lower immunization rates is that some parents hesitate to have their children immunized. A hesitancy questionnaire was developed to identify reasons parents hesitate in having their children immunized.

Methods: The hesitancy questionnaire was distributed from local pediatric and family practice offices and from the area's county health department. To be eligible, participants needed to be present in the clinic with a child needing a minimum of one immunization that was at least 6 months overdue.

Results: When questioned why their child was overdue for immunizations, the most common response was that participants were confused about the …

Designing An International Friendship Model For Children, Charlotte Martins

Theses and Graduate Projects

In 2006 this writer traveled to Windhoek, Namibia to take the course Walking the Truth; Culture, Gender and HIV/AID,S in Sub-Saharan Africa. As part of that class each student was assigned to work with an organization or individual whose mission was working with HIV/AIDS patients or there families. It was from this experience that the project was born. The purpose of this project is to design a friendship model that links children of middle school age from different cultures and different nations together through letter writing.

Firearms And Children: A Public Health Issue, Janet M. Benz

Theses and Graduate Projects

This is the time for nurses as individuals and collectively as a profession to realize their obligation to society in regards to the injury and death caused by firearms. Not one population or single community is immune from gun violence in America; it is an epidemic that does not discriminate. There are monumental implications for both nurses in practice and leadership to make a difference when it comes to changing policy from a public health perspective to reduce gun violence and save lives. In this project, Margaret Newman's (1994) theory of Health as Expanding consciousness is applied to the role …

Supporting Charge Nurses In Their Leadership Development: A Framework For Education, Sonja Rivers

Theses and Graduate Projects

This project examines the complex and multifaceted role of the charge nurse in the acute care setting and compares the charge nurse's role to that of a front line leader. Charge nurse competencies are identified and leadership skills and behaviors necessary for the charge nurse to function effectively in the role are explored including those related to emotional intelligence. A conceptual framework for education is developed using Botatzis' Theory of Self-Directed Learning, and Swanson's middle range theory of caring, Nursing as Informed Caring for the Well-Being of others.

Achieving Cultural Competence Through The Use Of Community Health Workers: Open Cities Health Center's Approach, Dorii Gbolo

Theses and Graduate Projects

The purpose of this project is to identify objectives necessary for incorporating a Community Health Worker (CHW) program within an urban Federally Qualified Community Clinic setting, for the purpose of enhancing the culturally specific care provided by the clinic. CHWs offer our current fragmented and complex health care system an opportunity to improve the health of underserved populations in our country. The use of CHWs dates back to the 1960's as an attempt to expand health care to the underserved residing in poor communities.

If one is poor, an immigrant, or just different from the norms of our society receiving …

How One's Cultural View Of Obesity Affects Care Giving, Marietta Kramper Farris

Theses and Graduate Projects

As the United States faces the challenge of obesity it is important to understand the cultural aspects of caring for these patients. Leininger's Transcultural Nursing Theory is used as a framework for the development of an educational program for health care professionals. The obese patients receiving care should be able to count on their care givers to appreciate the biases, stigmatization and discrimination of the culture in which they live. A review of the history of cultural views of obesity and thinness is used as a starting point. An in-depth review of related research is presented to detail bias, stigmatization, …

Supporting Lactation: Beyond Nutrition, Desiree' M. Bertilrud

Theses and Graduate Projects

Breastfeeding provides nutritional, health, immunological, psychological, economical and environmental benefits. Despite the abundance of scientific evidence and public health campaigns, the United States fails to meet national goals for breast feeding rates. Numerous barriers to lactation are identified and explored. However, by far, returning to work has the greatest impact on the duration of breastfeeding. Employers and organizations who support breastfeeding are the recipients of a multitude of benefits. The purpose of this project is to identify the strategic steps to establish a lactation room in an outpatient clinic setting for employees to support maternal-child relationships, foster employee satisfaction, and …

Teaching The Teacher Program To Assist Nurse Managers To Educate Nursing Staff In Ecuadorian Hospitals, Sheri P. Palmer, Sondra Heaston

Faculty Publications

Continuing education for hospital staff nurses is a concern worldwide. Current research shows that continuing education among nurses can positively affect patient outcomes (O’Brien, T., Freemantle, N., Oxman, A, et al., 2002. Interactive continuing education workshops or conferences can improve professional practice and patient outcomes. Journal of Evidence Based Nursing. 26 (5)). Seeing a need for improved patient outcomes among hospitals in Ecuador, we conducted a teaching the teacher program to assist nurse managers to carry-out continuing education in their hospital system. This teaching the teacher program was established through the collaboration between one College of Nursing in Utah, USA …

Knowledge Of Pain Management In Older Adults As A Content Area For Continuing Professional Education For Licensed Nurses, Wanda Cleveland Dubuisson

Dissertations

The research of the last 30 years has revealed the inadequacy of pain management in the older adult. Although evidenced-based clinical practice guidelines exist to direct the management of pain in the older adult, health care providers are either unaware or lack the proper understanding of the guidelines. This study investigated the differences in knowledge of pain management in older adults when examining licensed acute care nurses and extended care nurses. It sampled 118 acute care nurses working in two hospitals in Mississippi and 78 extended care nurses working in six extended care facilities (ECF) in Mississippi.

Based upon the …

Emergency Department Nurses' Experience Relating To Hospital Acquisition: A Phenomenological Study, Bernadette Deprez

Graduate Research Projects

No abstract provided.