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Networking: Building Relationships, Maxine A. Adegbola

Nursing Faculty Publications & Presentations - Archive

Presented to doctoral students, The University of Texas at Arlington, Texas

Outcomes Of Safety And Effectiveness In A Multicenter Randomized, Controlled Trial Of Whole-Body Hypothermia For Neonatal Hypoxic-Ischemic Encephalopathy, Seetha Shankaran, Athina Pappas, Abbott R Laptook, Scott A Mcdonald, Richard A Ehrenkranz, Jon E Tyson, Michelle Walsh, Ronald N Goldberg, Rosemary D Higgins, Abhik Das

Faculty, Staff and Student Publications

BACKGROUND: Whole-body hypothermia reduced the frequency of death or moderate/severe disabilities in neonates with hypoxic-ischemic encephalopathy in a randomized, controlled multicenter trial.

OBJECTIVE: Our goal was to evaluate outcomes of safety and effectiveness of hypothermia in infants up to 18 to 22 months of age.

DESIGN/METHODS: A priori outcomes were evaluated between hypothermia (n = 102) and control (n = 106) groups.

RESULTS: Encephalopathy attributable to causes other than hypoxia-ischemia at birth was not noted. Inotropic support (hypothermia, 59% of infants; control, 56% of infants) was similar during the 72-hour study intervention period in both groups. Need for blood transfusions …

The Contemporary Perspective Of Wellness Through The Voices Of The Kūpuna, Anne P. Odell Phd

Dissertations

Few studies successfully explain the decline of Hawaiian health, nor provide enough insight to the cultural determinants that affect Hawaiian wellness. For over two hundred years, Hawaiians have been influenced by a changing landscape mostly imposed upon Hawaiians and Hawaiian lands as a consequence of being conquered by powerful Western cultures. This grounded theory study utilized video elicitation and focus group methodologies to examine the perspective of wellness in a group of Hawaiian elders known as kūpuna. Following the viewing of a documentary film designed to elicit culturally based memories, a series of interview questions were asked to foster group …

Cost-Efficient Treatment Options For Uninsured Or Underinsured Patients For Five Common Conditions, Karlen E. (Beth) Luthy, Neil E. Peterson, Joey Wilkinson

Faculty Publications

The nurse practitioner's (NP's) role in providing quality care continues to evolve, concurrent with the ever-evolving health care system. With an influx of uninsured and underinsured patients, NPs must not only provide high-quality health care, they must also address cost-efficient treatment options for patients who cannot afford expensive medications. Familiarity with the cost of medications and prescribing cost-efficient medications are valuable tools NPs can use to encourage patient compliance with a specific care regimen, consequently improving the overall health of uninsured or underinsured individuals. Knowledge of patient assistance programs may also assist NPs in decreasing prescription drug costs for patients. …

A Model Of Holistic Nursing As A Pathway To Nurse Self-Care, Kristin Mchale

Theses and Graduate Projects

The purpose of this project is to develop a model of holistic nursing practice as a pathway to nurse self-care. Specifically, this project integrates nursing theory, relevant literature, and reflection on holistic nursing practice. The significance of the project is identified as the current low priority of nurse self-care and the need for nurse self-healing- Additionally, holistic nursing, as a pathway to nurse self-care, is examined through the theoretical lens of Jean Watson. Furthermore, literature and research are examined in the areas of (t) the meaning of the holistic nursing experience, (2) self-care and complementary, alternative medicine use by nurses, …

Shift Report And Sbar: Strategies For Clinical Postconference., Fatima Ascano-Martin

Nursing | Faculty Scholarship

Conducting an effective postconference continues to be challenging because of low levels of student participation. Many students are exhausted at the end of the clinical day, which lessens their participation in postconference. In my experience, students often omit important information, such as patients’ age, sex, race, and other medical problems, during initial reports. Some have trouble providing patients’ information in an organized manner as well. The SBAR (situation-background-assessment-recommendation) communication tool can be used as a strategy to conduct clinical postconference.

Subjective And Objective Napping And Sleep In Older Adults: Are Evening Naps “Bad” For Nighttime Sleep?, Natalie D. Dautovich, Christina S. Mccrae, Meredeth A. Rowe

Nursing Faculty Publications

Objectives: To compare objective and subjective measurements of napping, and to examine the relationship between evening napping and nocturnal sleep in older adults.

Design: For twelve days, participants wore actigraphs and completed sleep diaries.

Setting: Community

Participants: 100 individuals who napped, 60–89 years (including good and poor sleepers with typical age-related medical comorbidities).

Measurements: Twelve days of sleep diary and actigraphy provided subjective and objective napping and sleep data.

Results: Evening naps (within 2 hours of bedtime) were characteristic of the sample with peak nap time occurring between 20:30–21:00 (average nap time occurred between 14:30–15:00). Two categories of nappers were …

Shea/Apic Guideline: Infection Prevention And Control In The Long-Term Care Facility, Philip W. Smith, Gail Bennett, Suzanne Bradley, Paul Drinka, Ebbing Lautenbach, James Marx, Lona Mody, Lindsay Nicolle, Kurt Stevenson

United States Department of Veterans Affairs: Publications

Long-term care facilities (LTCFs) may be defined as institutions that provide health care to people who are unable to manage independently in the community.¹ This care may be chronic care management or short-term rehabilitative services. The term nursing home is defined as a facility licensed with an organized professional staff and inpatient beds that provides continuous nursing and other services to patients who are not in the acute phase of an illness. There is considerable overlap between the 2 terms.

More than 1.5 million residents reside in United States (US) nursing homes. In recent years, the acuity of illness …

Resting Energy Expenditure And Delayed-Onset Muscle Soreness After Full-Body Resistance Training With An Eccentric Concentration, Kyle J. Hackney, Hermann J. Engels, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

The purpose of this investigation was to determine the effect of an acute bout of high-volume, full-body resistance training with an eccentric concentration on resting energy expenditure (REE) and indicators of delayed-onset muscle soreness (DOMS). Eight resistance trained (RT) and eight untrained (UT) participants (mean: age = 23.5 years; height = 180.76 cm; weight = 87.58 kg; body fat = 19.34%; lean mass = 68.71 kg) were measured on four consecutive mornings for REE and indicators of DOMS: creatine kinase (CK) and rating of perceived muscle soreness (RPMS). Delayed-onset muscle soreness was induced by performing eight exercises, eight sets, and …

Supporting A Community Of Individuals With Intellectual And Developmental Disabilities In Grieving, Sarah Ailey, Marilyn O'Rourke, Susan Breakwell, Anna Murphy

College of Nursing Faculty Research and Publications

Individuals with intellectual and developmental disabilities are living longer and experiencing deaths among their family and peers, yet their grieving is not well recognized. Staff members who provide care for these individuals witness the aging and death of their clients, yet they also receive little preparation to work through issues surrounding bereavement for their clients and themselves. The End of Life Nursing Education Consortium developed a national initiative to improve end-of-life and bereavement care education. Recommendations from the End of Life Nursing Education Consortium were incorporated into a home care/hospice/community health course and practicum for second-degree BSN students. The following …

An Exploration Of The Relationship Between Stress Physiological Signals And Stress Behaviors In Preterm Infants During Periods Of Environmental Stress In The Intensive Care Unit., Niang-Huei Peng

Dissertations

The purpose of this descriptive study was to examine relationships between stress physiological signals and stress behaviors in preterm infants during periods of environmental stress. The study used a repeated-measures design to examine the relationships between environmental stressors, sleep-wake states, and both stress physiological signals and stress behavioral responses in one group of preterm infants. Measurements of these variables for each preterm infant were recorded every two minutes during four 60-minute observation periods (two in the morning and two in the afternoon) conducted over two days (one morning and one afternoon observation each day). The sample was 37 preterm infants …

Beck, Barbara (Fa 301), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid and full-text scan of paper (Click on “Additional Files” below) for Folklife Archives Project 301. Paper: "Images of Nurses in Print Media: 'RN Magazine', January 1995-June 1995" written by Barbara Beck for a Western Kentucky University folk studies class.

Fifth Grader's Weight Status Perceptions, Alice Parker Hannifin

Graduate Research Projects

Childhood obesity is rising and children's perceptions of their weight status may be influential. This study analyzed the responses of 18 fifth grade students regarding their perception of their weight status. The participants included 12 girls and 6 boys obtained from a convenience sample at a rural elementary school. A positive correlation between weight perception and BMI was demonstrated(r= .804, p< 0.01), although some misperceptions were evident. The majority of students worried about their weight even if they were at a healthy weight. Overweight children responded that healthcare providers and parents are not talking to them about their weight. Participants recognized that diet and exercise are the main reasons for overweight in children. Health implications of life-long obesity are significant. This small study showed, as other studies, that problems in weight perception are evident at the 5th grade level.

An All-Terrain Vehicle Safety Educational Program: Is It Effective In Improving Attitudes, Safety Knowledge, And Behaviors In Adolescents Ages 12 To 18?, Kim Elaine Young Vickous

Masters Theses & Specialist Projects

All terrain vehicles (ATVs) are a popular source of recreation. For some rural adolescents, ATVs are frequently used for agricultural work. Whether for work or recreation, many adolescents operate ATVs improperly either from a lack of knowledge, poor judgment or they engage in risky behaviors resulting in injuries and fatalities.

The Kentucky Department of Agriculture (KDA) has devoted resources to provide ATV safety programs to educate adolescents statewide. However, there are no known studies evaluating the effectiveness of this KDA intervention. Therefore, a pilot study was proposed to determine the effectiveness of The KDA ATV safety program in improving ATV …

Effects Of Hypoxic-Ischemic Encephalopathy And Whole-Body Hypothermia On Neonatal Auditory Function: A Pilot Study, Ulrike Mietzsch, Nehal A Parikh, Amber L Williams, Seetha Shankaran, Robert E Lasky

Faculty, Staff and Student Publications

We assessed the effects of hypoxic-ischemic encephalopathy (HIE) and whole-body hypothermia therapy on auditory brain stem evoked responses (ABRs) and distortion product otoacoustic emissions (DPOAEs). We performed serial assessments of ABRs and DPOAEs in newborns with moderate or severe HIE, randomized to hypothermia ( N = 4) or usual care ( N = 5). Participants were five boys and four girls with mean gestational age (standard deviation) of 38.9 (1.8) weeks. During the first week of life, peripheral auditory function, as measured by the DPOAEs, was disrupted in all nine subjects. ABRs were delayed but central transmission was intact, suggesting …

Structures And Practices Enabling Staff Nurses To Control Their Practice, Marlene Kramer, Claudia Schmalenberg, Patricia Maguire, Linda Chmielewski

Articles

This mixed-methods study uses interviews, participant observations, and the CWEQII empowerment tool to identify structures and attributes of structures that promote control over nursing practice (CNP). Nearly 3,000 staff nurses completed the Essentials of Magnetism (EOM), an instrument that measures CNP, one of the eight staff nurse-identified essential attributes of a productive work environment. Strategic sampling is used to identify 101 high CNP-scoring clinical units in 8 high-EOM scoring magnet hospitals. In addition to 446 staff nurses, managers, and physicians on these high-scoring units, chief nursing officers, chief operating officers, and representatives from other professional departments are interviewed; participant observations …

Readiness For Discharge In Parents Of Hospitalized Children, Marianne E. Weiss, Norah Louise Johnson, Shelly Malin, Teresa Jerofke-Owen, Cecilia Lang, Eileen Sherburne

College of Nursing Faculty Research and Publications

Parental preparation for a child's discharge from the hospital sets the stage for successful transitioning to care and recovery at home. In this study of 135 parents of hospitalized children, the quality of discharge teaching, particularly the nurses' skills in “delivery” of parent teaching, was associated with increased parental readiness for discharge, which was associated with less coping difficulty during the first 3 weeks postdischarge. Parental coping difficulty was predictive of greater utilization of posthospitalization health services. These results validate the role of the skilled nurse as a teacher in promoting positive outcomes at discharge and beyond the hospitalization.

Intergenerational Communication: Its Effect On Early Screening Activities In African-American Adult Daughters Of Mothers With Breast Cancer, Rita R. Callahan Phd, Ma, Bsn, Rn

Dissertations

Health communication at numerous levels is vital to sustainability of healthy individuals. The notion of African-American mothers and adult daughters sharing breast health and breast cancer knowledge openly and honestly could be the initial step in addressing the high morbidity and mortality that continues to affect this population. Communication is a variable that has yet to be studied between African-American mothers diagnosed with breast cancer and their adult daughters. This study first examined whether this relationship existed, and secondly if it was strong enough in supporting and encouraging one another towards consistent breast health and breast cancer screening activities. The …

Patients' Perceptions Of Hospital Discharge Informational Content, Lynn Rose Maloney, Marianne E. Weiss

College of Nursing Faculty Research and Publications

Ensuring that patients' informational needs have been met prior to hospital discharge sets the stage for successful self-management of recovery at home. This secondary analysis study aims to identify differences in the amount of discharge teaching content needed and received by adult medical-surgical patients on the basis of their sociodemographic characteristics and hospitalization-related factors. The Quality of Discharge Teaching Scale (QDTS) is used to measure patients' perceptions of the amount of discharge-related informational content they needed and received. Eighty-nine percent of patients receive more informational content than they perceived they needed. Nonwhite patients report more content needed than White patients. …

Promoting Healthy Development: Educating Somali Mothers And Children On The Importance Of Outdoor Physical Activity, Rebecca S. Wawra

Theses and Graduate Projects

This paper describes an educational program that was designed to provide education and awareness for Somali mothers and children about the importance of outdoor physical activity on healthy child development. The program is based on Margaret Newman's nursing theory of Health as Expanding Consciousness and Hartrick-Doane & Varcoe's concept of walking with. A comprehensive literature review was completed to exemplify the need for outdoor physical activity education in the immigrant population.

Uab Nursing - Summer 2008, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Cultural Competency In Nursing Education, Mikal Black, Terri Soelberg, Pamela Springer

Nursing Faculty Publications and Presentations

This article offers an overview of the GAIN (Greater Awareness in Idaho Nurses) Project which seeks to produce nursing graduates who are competent in providing culturally competent care. A description of the course will describe how interdisciplinary pedagogies have been utilized to provide an integrated course utilizing experiential leaming through Service Learning. Results of assessment of student outcomes illustrate the effectiveness of the project in developing cultural competence among participants.

Idaho Public Health Nursing Study, Jeri L. Bigbee, Jody Demeyer, Pam Gehrke, Nancy Otterness

Nursing Faculty Publications and Presentations

Public health nursing represents the foundation of the U.S. public health system, particularly in predominantly rural and frontier states. Increasing attention has recently been paid to strengthening the public health infrastructure and workforce in response to disaster preparedness concerns. Major concerns regarding the current and future shortage of public health nurses have been raised at the national and state levels (The Quad Council of Public Health Nursing Organizations, 2006; Health Resources Services Administration, 2005; Gehrke, 2007). Factors contributing to the shortage include the aging nursing workforce, inadequate funding and salaries, lack of qualified applicants, and ineffective recruitment and retention. In …

Research Utilization Barriers Perceived By Nurses In The Emergency Department, Yen Hai Nguyen

Nursing Theses - Archive

The purpose of this quantitative, descriptive study is to explore and describe Emergency Department nurses' perceived barriers to research utilization. The setting of this study takes place in the Emergency Department of a community hospital in North Central Texas. The BARRIERS to Research Utilization Scale (Funk, Champagne, Wiese, & Tornquist, 1991a) was the questionnaire used in this study. Sixteen completed questionnaires were obtained. The greatest barrier identified by this sample was that nurses do not feel they have enough authority to affect change, which is the same primary barrier found by Funk, Champagne, Wiese, and Tornquist in 1991. Implications for …

The Flame, Summer 2008, Mennonite College Of Nursing

The Flame (1985-present)

The Flame is a newsletter of Illinois State University's Mennonite College of Nursing

Identifying Determinants Of Physical Activity In Maritime Union Members Using The Theory Of Planned Behavior, Susan Atkinson Tweed

Health Services Research Dissertations

This study examined the usefulness of the Theory of Planned Behavior to predict how attitude, subjective norm, perceived behavioral control, and intention are associated with physical activity in longshoremen from the Hampton Roads Shipping Association-International Longshoreman's Association (HRSA-ILA). The study was conducted in two phases. In the first phase, five focus groups were conducted to elicit information about the health behaviors of longshoremen. From the results of these focus groups, a 90-question, theory based, self-reported questionnaire was developed to identify beliefs, attitudes, subjective norms, perceived behavioral control, and intentions that contribute to longshoremen engaging in physical activity. In the second …

It's What We're Here For: Nurses Caring For Military Personnel During The Persian Gulf Wars, Patricia Rushton, Lynn Clark Callister, Jared E. Scott

Faculty Publications

Military nursing service during wartime represents significant contributions to a unique type of health care. The purposes of this study were to: (1) generate themes that elucidate combat nursing experiences, (2) honor nurses who served by sharing their stories, and (3) permanently archive accounts of nursing personnel who served during the Persian Gulf Wars during the late 20th and early 21st centuries. Eleven military nurses who provided health care to American troops in the Persian Gulf participated in a historical study as part of the ongoing Nurses at War oral history project documenting the experiences of nurses during times of …

Psychometric Properties Of A Modified Version Of A Worksite Harassment Tool—Preliminary Findings, Hanan Al-Modallal, Lynne A. Hall, Debra Anderson

Faculty and Staff Scholarship

This study examined the psychometric properties of a modified version of a worksite harassment tool. Data were collected from 180 long-haul female drivers. Cronbach’s alpha was used to assess internal consistency. Principal components analysis was used to investigate the tool’s dimensionality, and correlation analysis was used to investigate construct validity. Cronbach’s alpha for the tool was 0.88. Principal components analysis indicated the presence of two factors. Two items were eliminated due to low factor loadings. Cronbach’s alpha for the short version (7 items) was 0.86. Higher abuse scores were associated with poorer health and greater levels of stress. The greater …

Transformations With Tai Chi: The Experience Of Community-Dwelling Tai Chi Practitioners, Sunny Yim Alperson Phd

Dissertations

While Tai Chi practice has dramatically increased across the U.S., its mechanism is unknown, and overall understanding of the phenomenon is lacking. The purpose of this study was to explore the experience of community-dwelling Tai Chi practitioners through a qualitative study, detailing its social and personal appeal, the reasons for their continued involvement, its symbolic meanings, and its impact on their lives. Utilizing the grounded theory method and dimensional analysis, in-depth interview data from 23 practitioners, aged 49-82 were audio-recorded, transcribed, coded and analyzed to derive a grounded theory. A theoretical model, transformation with moving meditation was developed, reflecting the …

Spirituality And Symptom Self Management Of Osteoarthritis, Lois M. Kannan Phd

Dissertations

Healthcare providers need to identify holistic self-care techniques that are endorsed by patients as effective strategies for symptom management of osteoarthritis, which is the single most common cause of disability in older adults. Research in this area may direct the development of interventions to ensure that older adults are afforded every opportunity to remain active and productive, with an improved health related quality of life, despite age related musculoskeletal conditions. The purpose of this study was to describe the relationships among symptom experience, symptom management, and symptom outcome based on spiritual well-being. A quantitative, descriptive, correlational, and noninterventional study design, …