Medicine and Health Sciences Commons^™

Effects Of Music Therapy On Preterm Infants In The Neonatal Intensive Care Unit, Ashley Hodges Wood

All ETDs from UAB

The study purpose was to examine the effects of a 15-min live-music therapy intervention on heart rate, oxygen saturation, level of motor activity, behavioral distress, and behavioral state levels in premature infants in the neonatal intensive care unit. The convenience sample included 20 infants born at 26 to 29 weeks’ gestational age who were hospitalized in a large teaching hospital in the southern United States. In a 1-group repeated-measures crossover design, infants were randomly assigned order of music versus no-music conditions. Data were collected on 4 occasions over a 2- to 4-week period beginning when the infants were 1 to …

Occupational Stressors, Job Satisfaction, And Back Pain In Firefighters, Mantana Damrongsak

All ETDs from UAB

Occupational back pain is a significant health and safety problem in many industrialized countries for persons who are required to perform work-related forceful movement and lifting. Firefighters, an occupational group at high risk for back injury, perform many job tasks under hazardous work conditions. One-third of firefighters retire due to job-related health and safety problems and 49.4% of this group retire as a result of back pain, the leading cause of early retirements in firefighters. Most studies have examined factors influencing back problems among other workers, especially nurses and hospital workers, but few studies have investigated factors that influence back …

Bridging The Theory Practice Gap, Judith Wilson

Nursing Papers and Journal Articles

The gap between theory and practice has long been identified as a problem in nursing and midwifery. In the past this has been described as an “embarrassing failure” (Rafferty et al., 1996 p.685) and presently there is a strong consensus that the existence of this gap is not only pressing but increasing (Spouse 2001; Landers 2000).

This article reports the findings of a qualitative descriptive study conducted. The purpose of this study was to explore the theory practice gap from the perspective of the midwifery student. This was considered to be a unique angle on this well researched and debated …

Towards A Conceptual Framework For Preceptorship In The Clinical Education Of Undergraduate Nursing Students, Melanie Zilembo, Leanne Monterosso

Nursing Papers and Journal Articles

A recent study undertaken by the authors (2007) highlighted that undergraduate nursing students were subjected to varying experiences in clinical practice, which were mediated by a number of factors. Mediating factors included continuity of preceptors, student attitudes, the clinical setting environment, student and preceptor expectations of the clinical practice experience and interactions between the student and preceptor.

Of note, interactions with preceptors were seen to 'make or break' the practical experience. Therefore, the relationship that is forged between preceptor and student is vital in shaping the student's experience of the clinical area and of the real world of nursing work. …

Exploring The Experience Of Benefit Finding In Parents Of Children With Cancer: A Grounded Theory Study, Carol E. Zogran

Theses and Dissertations

The diagnosis of cancer in a child is one of the most significant stressors a parent can experience, and research in the area of stress-related effects of illness on parents has emerged in many areas. The majority of studies have focused on the potential or actual negative impact on parents during and after treatment of their child's illness. However, studies that initially set out to explore the difficulties associated with coping with childhood cancer found that parents often reported positive aspects about the experience. There is now increasing interest and support for the study of "positive-health" factors that contribute to …

A Qualitative Study Comparing Faculty's Perceptions Of Factors Affecting Successful Tenure Attainment In Nursing And Professional Fields Versus Traditional Disciplines, Marie Ann Cueman

Seton Hall University Dissertations and Theses (ETDs)

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Nurses’ Experience Of Leadership In Assisted Living: A Situational Analysis, Carole H. Bergeron

Antioch University Dissertations & Theses

This study concentrates on the voice of registered nurses as they describe their experiences of leadership within the nontraditional, non-institutional, non-hospital environment of assisted living. It further expounds upon regulatory and corporate information as context for the nurses’ leadership experiences. The desire to hear nurses describe their personal experiences of leadership influenced the decision to use grounded theory as a methodological process. The belief that voice requires context to be most effectively understood influenced, in turn, the addition of a situational analysis approach to the grounded theory methodology. As a result, interviews and scrutiny of contextual elements form the core …

The Foundation, Education, And Practice Of Osteopathic Medicine, Anthony P. Salvador

Honors Theses

Osteopathic medicine has quickly grown into a successful and respectable branch of medical practice. It was created out of a necessity for change in the late 1800s, and continues to be a credible form of alternative medicine. After reviewing literary material, journal articles, and numerous osteopathic college sources it was seen that osteopathic medicine can be practiced in numerous settings and will become integral in the near future due to the shortage of physicians in the United States. Today, osteopaths work closely with all types of medical personal including medical doctors.

Wisconsin State Guilds Join Other Organizations In Presenting Humanae Vitae Conference, Richard J. Fehring

College of Nursing Faculty Research and Publications

No abstract provided.

Usefulness Of Electronic Hormonal Fertility Monitoring For Avoiding Pregnancy, Richard J. Fehring

College of Nursing Faculty Research and Publications

Couples wishing to achieve or avoid pregnancy can now use an electronic hormonal fertility monitor to aid home fertility monitoring. The Clearplan Easy Fertility Monitor (CPFM) is a handheld monitor designed to help couples achieve pregnancy. It provides information on three levels of fertility (low, high, and peak) based on urinary threshold levels of estrogen and luteinizing hormone (LH). The monitor can be used as an aid to avoid pregnancy when used with another marker of fertility. We conducted an efficacy study to determine the effectiveness of using the monitor along with cervical mucus monitoring with 215 couples seeking to …

Bridging The Gap With Old Order Amish: A Cultural Brokering Model Based On Culture Care Theory, Sharon M. Mcgill

Theses and Graduate Projects

The Old Order Amish people have chosen to live a humble lifestyle consistent with their cultural beliefs and values. This lifestyle guides the Amish people in utilizing home based care (generic care) for their everyday health need.s and professional care (Western medical- care) to meet their needs during a health crisis. In fact many Old Order Amish seek professional care as the last resort. The purpose of this protect is to develop a model of advanced transcultural nursing practice that bridges the gaps between the Old Order Amish generic care practices and Western professional health care practices - This model …

A Comparison Of An Individually Tailored And A Standardized Asthma Self-Management Education Program, Judy Ann Shackelford

Dissertations

Asthma is one of the most prevalent chronic diseases in the United States (Centers for Disease Control [CDC], 2003). According to the CDC (2003), prevalence of asthma continues to rise in epidemic proportions and is very costly. While asthma cannot be prevented or cured, it can be controlled to improve quality of life. Self-management is key to controlling asthma (CDC, 2003; National Heart, Lung, and Blood Institute [NHLBI], 2002). State of the science for asthma self-management establishes that health care costs decrease for self-management intervention groups (Lindberg et al, 2002; Thoonen et al, 2003). Education is essential to support asthma …

Missouri Ozark Women's Experiences Of Living With Postpartum Depression Symptoms, Nathalie B. Williams

Dissertations

Depression is a serious complication of the postpartum period that affects not only women but their children and families as well. Rural women are of particular concern because of the significant barriers to health care that they experience as a result of isolation, poverty, traditional beliefs, and a lack of accessible and adequate health related services. A review of the literature to identify evidence based nursing interventions that focused on primary and secondary prevention of postpartum depression revealed few interventions and there were no studies identified that targeted or even included women living in rural areas of the United States. …

Perceptions Of Dyspnea, Physical Activity, And Functional Status In Obese Women, Donna Althea Jewell

Dissertations

PURPOSE: King's Theory of Goal Attainment guided this study exploring the physical sensation of dyspnea that obese women feel and how it affects their functioning. BACKGROUND AND SIGNIFICANCE: Obesity prevalence has doubled since 1980. Current research is investigating how to reduce prevalence and examining obesity's impact on the respiratory system. Little research was found that investigated the impact obesity has on routine activities because of dyspena and function and whether physical activity has a mitigating effect. METHODS: A comparative descriptive research design was used. A survey of dyspnea felt during routine activities was created; IRB approval to survey community-dwelling women …

Leadership Competencies In Today's Complex Healthcare Environment, Judy Moseley

Theses and Graduate Projects

The increasingly diverse, multicultural population in the United States is offering significant challenges to nurses to provide culturally competent care. If the provision of the best possible care for all patients is the goal, nurse leaders must have the expertise and skill to lead staff through the complex problems of organizations. Nurses must possess the ability to generate solutions consistent with the organization's mission and with sensitivity to the needs of a diverse patient population. Through the interconnected processes of teaching and practice, an innovative Master of Arts in Nursing program that emphasizes transcultural nursing practice experience for leaders was …

An Integral Philosophy And Definition Of Nursing, Olga F. Jarrin

School of Nursing Scholarly Works

A unifying meta-theory of nursing is suggested, building from the foundation of the AQAL framework. A definition of nursing as situated caring is presented, along with a historical discussion of nursing epistemology and theory for context. Implications for practice, education, and research are also discussed. A unifying meta-theory will enable nurses at both the practical and academic levels to appreciate the complexity and simplicity of nursing, allowing them to articulate confidently what we do and why we do it.

Effectiveness Of An Evidence-Based Curriculum Module In Nursing Schools: Targeting Safe Patient Handling And Movement, Nancy Menzel, Audrey L. Nelson, Thomas R. Waters, Nancy Hughes, Pamela C. Hagan, Gail Powell-Cope, Viviam Thompson

Nursing Faculty Research

Nursing schools in the United States have not been teaching evidence-based practices for safe patient handling, putting their graduates at risk for musculoskeletal disorders (MSDs). The specific aim of this study was to translate research related to safe patient handling into the curricula of nursing schools and evaluate the impact on nurse educators and students' intentions to use safe patient handling techniques. Nurse educators at 26 nursing schools received curricular materials and training; nursing students received the evidence-based curriculum module. There were three control sites. Questionnaires were used to collect data on knowledge, attitudes, and beliefs about safe patient handling …

African American Grandmother Caregivers: Relationships Among Information Need, Perceived Burden, Perceived Health, And Service Need And Use, Gloria F. Carr

Nursing Dissertations - Archive

African American (AA) grandmothers who parent their grandchildren may experience burden related to these responsibilities. Little is known about perceived caregiver burden and its influence on AA grandmother health and service needs. The purpose of this descriptive, correlational research study was to investigate relationships among personal characteristics, information need, perceived burden, perceived health, service need, and service use in AA grandmothers who are the primary caregivers for one or more of their biological grandchildren. Recruited through churches and community centers, 93 AA grandmothers, ages 36 to 78, participated in this study. These grandmothers were primary caregivers for 211 grandchildren. The …

The Relationship Among Spirituality, Self-Efficacy, And Quality Of Life In Adults With Sickle Cell Disease, Maxine A. Adegbola

Nursing Dissertations - Archive

For the individual with sickle cell disease (SCD), the lifespan is increasing but adults report decreased quality of life (QOL), low self-efficacy, and ineffective coping skills. The care of adult patients with SCD requires a complex multidisciplinary team approach with focus not only on physiological, psychological, and social needs, but also on spiritual needs. Quality of life, spirituality, and self-efficacy have been sparsely and separately studied in individuals with SCD. These three constructs have never been combined in one study in the adult SCD population. Objective: The purpose of this study was to explore and describe the relationships among spirituality, …

Perceived Organizational Support And Ethical Work Climates As Predictors Of Turnover Intention Of Licensed Nurses In Skilled Nursing Facilities, Anna A. Filipova

Dissertations

The purpose of this study was twofold: (1) to replicate Victor and Cullen's (1987; 1988) studies to confirm whether ethical climates (ECs) arise in skilled nursing facilities (SNFs), and whether organizations and groups within organizations have identifiable ECs; and (2) to test a model that examines the effects of ECs and perceived organizational support (POS) on licensed nurses' turnover intention (TOI) through job satisfaction (JS) and organizational commitment (OC).

A cross-sectional survey design was implemented. Three hundred and fifty nine freestanding SNFs were selected in a midwestern state. While a total of 110 facilities (31%) agreed to participate, responses were …

Dyadic Relationship Scale: A Measure Of The Impact Of The Provision And Receipt Of Family Care, Margaret Sebern, Carol J. Whitlatch

College of Nursing Faculty Research and Publications

Purpose: This study evaluated the psychometric properties of the Dyadic Relationship Scale (DRS), which measures negative and positive dyadic interactions from the perspective of both the patient and the family caregiver. An important aspect of evaluating the DRS was that it be statistically sound and meaningful for both members of the dyad. Design and Methods: The study used a cross-sectional design. Survey packages were mailed to home health care patients and their family caregivers. The unit of analysis was the dyad, and exploratory and confirmatory factor analyses were conducted. We examined the reliability, discriminant, and concurrent validities of the instrument. …

Influence Of Stroke Clinical Pathway On Documentation, Shannon Sternberg

All Theses

The purpose of this study was to determine whether the implementation of a stroke clinical pathway could improve compliance with documentation of specific quality measures for patients admitted with the diagnosis of acute ischemic stroke, hemorrhagic stroke, or transient ischemic attack. The study used the ten standardized performance measures for stroke identified by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and integrated documentation of those measures into a stroke clinical pathway consisting of physician order sets, an interdisciplinary plan of care, and a patient/family education flow sheet. The American Stroke Association's Get with the Guidelines - Stroke (GWTG-Stroke) …

Cardiopulmonary Predicators Of Dysfunctional Ventilator Weaning Response After Coronary Artery Bypass Graft, Annapoorna Mary

Theses and Dissertations (ETD)

Although the majority of coronary artery bypass graft (CABG) surgery patients are extubated within 6 to 8 hours following surgery, 20% to 40% of patients remain intubated 12 hours after surgery due to dysfunctional ventilator weaning response (DVWR). DVWR associated with increased morbidity and mortality (30% to 43%) following CABG surgery. Finding significant antecedence to predict DVWR could help to identify and prevent the complications from DVWR after CABG surgery. Literature review revealed that there is an association between cardiopulmonary indicators (CPI) and DVWR after CABG surgery. Cardiopulmonary indicators are the selected hemodynamic parameters that have an association with DVWR. …

A Pilot Study To Prevent Hearing Loss In Farmers, Donna M. Gates, M. Susan Jones

Nursing Faculty Publications

Objective: Determine the feasibility and outcome of a pilot program to increase farm workers' use of hearing protection when performing activities with high noise exposure. Design: The study was a quasi-experimental study. Sample: Eight intervention farmers and 17 comparison farmers participated in the study. Measures: Before and after the intervention, farmers complted a survey to identify their frequency of use of hearing protection and their beliefs about hearing loss and use of hearing protection. Intervention: The intervention consisted of noise assessments, educational sessions, mailed reminders with brochures, and placement of hearing protection on the farm. Results: The intervention was effective …

Factors Influencing Cancer Screening Practices Of Underserved Women, Kelly Ackerson, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Purpose: This integrated review was conducted to evaluate the factors that inhibit or promote decisions by African American and Hispanic women to obtain cervical cancer screening.

Data sources: Research articles were identified using MEDLINE, PubMed, and Cumulative Index to Nursing and Allied Health literature, published between 1999 and 2005.

Conclusions: Cervical cancer screening practices of African American and Hispanic women were influenced by extrinsic motivators including lack of insurance, no usual source of health care, acculturation, and socioeconomic factors. Intrinsic motivators were related to beliefs and perceptions of vulnerability, such as ignoring cervical cancer screening when no symptoms were present; …

Stormer, Karen Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Donna M. Curry, Karen Stormer

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Carol Holdcraft and Donna Miles Curry interviewed Karen Stormer on October 30, 2007 about the founding of the Wright State University College of Nursing and Health. In the interview Ms. Stormer discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

Rosencrans, Mary Ann Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Mary Ann Rosencrans

Wright State University - Miami Valley College of Nursing and Health Oral History Project

Donna Miles Curry interviewed Mary Ann Rosencrans on October 29, 2007 about the founding of Wright State University College of Nursing and Health. In the interview, Rosencrans discusses her career and her decision to come to Wright State as a student for the College of Nursing and Health

Graduate Project To Explore Factors Affecting Completion Of Final Degree Requirements For A Master Degree In Nursing, Sharon Gentile

Theses and Graduate Projects

The purpose of this project was to explore issues that influence Master Degree completion as perceived by graduate nursing students, using focus groups. All eight graduate nursing student participants recently completed structured coursework, but had not submitted a final paper or project. Margaret Newman's Health as an Expanding Consciousness Nursing Theory was applied as the conceptual framework used to process the information obtained. Dialogue between moderator and participants occurred during accompaniment enabling valuable information to be elicited, and participants' personal clarification of concerns; therefore establishing praxis. Issues emerged related to adult learners seeking defined expectations and effective relationships with advisors. …

Rain Rhythms: Fall 2007 - Spring 2008, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Nursing Faculty Development And Satisfaction With Online Teaching, Kellie Smith, Edd, Rn, Elizabeth Elkind, Rnc, Msn, Mba, Phd(C)

College of Nursing Faculty Papers & Presentations

Faculty development and online teaching. Pennsylvania Higher Education Nursing Association Annual Fall Meeting. Harrisburg, PA. (podium).

19 PowerPoint slides.