Medicine and Health Sciences Commons^™

An Analysis Of Providers' Practices Regarding Smoking Cessation, Laurie Fowler

MSN Research Projects

Clinical guidelines are the basis of any primary care setting. They were developed in order to give the healthcare provider access to information regarding screening, assistance, and management of certain ailments. Smoking cessation education is among the many clinical guidelines. Smoking is also among the modifiable risk factors for many diseases, including heart disease and cancer. A nonexperimental, ex post facto chart review was used to evaluate if healthcare professionals provided and documented smoking cessation education. A random sample o f (N=200) patients’ charts were selected at a clinic site in Northeast Mississippi. The purpose o f the study was …

Ua61/1 Wku Nursing Classes 2006 & 2007, Wku Nursing

WKU Administration Documents

Members of the 2006/2007 nursing class: Brittany Bate, Kathy Barger, Andrew Blair, Kathry Brooks, Megan Brotherton, Adrienne Brown, Spencer Cole, Kelly Crowe, Sarah Faxon, Kristin Ferrell, Sheila Flewallen, Stephanie Ford, Alicia Greenwell, Ashley Griffin, Ali Hamidian, Megan Hamilton, Margo Hancock, Elisha Hill, Erin Hubbard, Liz Huber, Brittany Hughes, Beverly Jaggers, Tracy Jenkins, Jessica Johnson, Ben Kabel, LaDonna Killebrew, Bridget Kilpatrick, Lindsay Klineline, Kristin Kuffman, Ashley LaFollette, Lisa Marcum, Bernard Marfo, Mallory Markwell, Eugenia Martchenko, Torie McCoy, Karen Northey, Nancy Oetze, Michel Pendleton, Allison Phillips, Brandy Pierce, Valerie Roberts, Britney Robertson, Heather Rodgers, Melissa Ross, Angela Ryne, Kara Sears, Denise Simmons, …

Barriers To Mammograms Among Women Who Are Homeless, Lucinda M. Ramirez

Master's Projects

Purpose: The purpose of the study was to identify barriers to mammogram screening among women who are homeless. Knowing the barriers to mammogram screening will be useful to advanced practice nurses for it provides insight to understanding the perceived susceptibility, benefits, and barriers of women potentially amendable to intervention. Data sources: A descriptive survey was used with a convenience sample of 41 women who were homeless, between the ages of 20-70 years, and agreed to participate in this study. The research was conducted at two homeless shelters in an urban county in Northern California. Findings: Findings reflected positive perceptions recognizing …

Parental Perceptions Of The Management Of Childern With Type 1 Diabetes At School: A Broader Perspective, Claudia Wilde

Master's Projects

The purpose of this study was to examine parental perceptions related to the care and management of children with Type 1 diabetes at school. Parents of elementary and middle school-age children with Type 1 diabetes completed a survey questionnaire, which included one open-ended question. The questionnaire was developed by the researchers based on original questionnaires by Nabors, Lehmkuhl, Christos, and Andreone (2003) and Lewis, Powers, Goodenough and Poth (2003 ). Permission to use and modify the questionnaires was provided by Nabors and Poth. Results from this study showed a split in parental satisfaction regarding care provided by school personnel in …

Morbidity And Mortality Ofvery Low Birth Weight Infant Graduates Of A Level Three Neonatal Intensive Care Unit, Maria Cortes

Master's Projects

Purpose: To describe the morbidity and mortality of very low birth weight (VLBW) infant graduates of a level three neonatal intensive care unit (NICU) in a medically underserved population. Design: A retrospective chart analysis of 181 live born infants at a regional tertiary center between 2004-2006. Sample: Infants born with a birth weight of 425-1489 grams and gestational age of23-40 weeks (n=127). Main outcome variable: Descriptive statistics were used to describe the incidence of associated VLB W morbidities presenting after discharge along with hospital readmissions and mortality rates. Results: VLBW infants discharged from the NICU had chronic lung disease (24.4%), …

Screening For Postpartum Depression At Well-Baby Visits, Suzanne Mello

Master's Projects

Objective: To assess the prevalence of postpartum depression among mothers who attend first-year well-baby visits. Methods: A convenience sample of 33 women was screened during first year well-baby visits using the Edinburgh Postpartum Depression Scale (EPDS) at three pediatric offices in Northern California. Measures included demographic data, history of depression, tobacco use, strength of support system, breast/bottle feeding, and child's health. EPDS scores were collected to calculate the prevalence of postpartum depression. Results: The EPDS was administered to 33 women at first year well-baby visits. Thirty-two were completed. Sixty-six percent of women had scores < 10 indicating no depression. Thirty-four percent reported scores of>=l 0 during the postpartum year …

Quality And Safety Education For Nurses, Linda Cronenwett, Gwen Sherwood, Jane Barnsteiner, Joanne Disch, Jean Johnson, Pamela Mitchell, Dori Taylor Sullivan, Judith Warren

Nursing Faculty Publications

Quality and Safety Education for Nurses (QSEN) addresses the challenge of preparing nurses with the competencies necessary to continuously improve the quality and safety of the health care systems in which they work. The QSEN faculty members adapted the Institute of Medicine competencies for nursing (patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics), proposing definitions that could describe essential features of what it means to be a competent and respected nurse. Using the competency definitions, the authors propose statements of the knowledge, skills, and attitudes (KSAs) for each competency that should be developed during pre-licensure nursing …

Dutch Women's Perceptions Of Childbirth In The Netherlands, Taralyn R. Johnson, Lynn Clark Callister, Donna S. Freeborn, Renea L. Beckstrand, Katinka Huender

Faculty Publications

Purpose: To explore the lived experience of childbirth in Dutch women who had given birth at home in the Netherlands.

Methods: Qualitative study using audiotaped interviews with 14 women.

Results: Themes included the advantages of giving birth in the home, where the women felt more in control of their environment; the difficulty and normalcy of the pain associated with giving birth; the feelings of fulfillment and empowerment that come with childbirth and motherhood; and the importance of the supportive role of the midwife–caregiver.

Nursing Implications: Women in a culture different from that of the United States who gave birth at …

Cultural Self-Efficacy Of Graduating Baccalaureate Nursing Students In A State Funded University In The Silicon Valley, Lihua Liu

Master's Projects

The purpose of the study was to examine the level of cultural self-efficacy of graduating baccalaureate nursing students, who care for diverse populations, in a state funded university in the Silicon Valley, California. The level of cultural self-efficacy was measured using Bernal and Froman's Cultural Self-Efficacy Scale (CSES). A convenience sample of 48 nursing students completed an 8-item demographic questionnaire and a 26-item CSES. The subjects of this study were found to have an increased level of cultural confidence in comparison with previous studies. This study suggests nurse educators continue to incorporate cultural concepts and skills in the nursing curriculum.

The Influence Of Religiosity On Contraceptive Use Among Roman Catholic Women In The United States, Jennifer M. Ohlendorf, Richard J. Fehring

College of Nursing Faculty Research and Publications

This study uses data from National Survey of Family Growth (NSFG) to determine the effect of religious belief among Roman Catholics on contraceptive use and to make recommendations for catechesis and education.

When I Was In My Home I Suffered A Lot: Mexican Women’S Descriptions Of Abuse In Family Of Origin, Ruth Ann Belknap, Nancy Cruz

College of Nursing Faculty Research and Publications

In this descriptive study we employ episodic narrative interviews and narrative analysis to explore experiences of abuse and violence within the families of origin of Mexican women entering adulthood. Twenty-four Mexican women, 18 years of age and about to graduate from a residential school in central Mexico, were interviewed about life in their families of origin. Participants were from several Mexican states and of low socioeconomic status. Nineteen of the participants described either witnessing or experiencing violence or abuse within their families. We present an analysis of the interviews in which violence or abuse was disclosed. Women who witnessed violence …

Gastric Myoelectrical Activity In Patients With Diabetes, Sandra Luberata Holmes

Theses and Dissertations (ETD)

This descriptive, correlational study investigated the associations among gastric myoelectrical activity (GMA), upper gastrointestinal (GI) symptoms, and glucose control. The study also attempted to determine whether any relationship existed between upper GI symptoms, glucose control, age, or length of diagnosis and pattern of GMA identified using electrogastrography (EGG). A total of 25 persons participated in the study. The sample was comprised of 7 healthy controls, 5 patients diagnosed with type 1 diabetes, and 13 patients diagnosed with type 2 diabetes. Electrogastrography was performed for 30 minutes in the fasting state and continued at 30-minute intervals for a total of 1-1/2 …

Health Barriers, Health Perceptions, And Cardiovascular Risk Factors Of Adolescent Black American Males, Desmarie Jackson Decuir

Theses and Dissertations (ETD)

Area of Investigation: Cardiovascular (CV) diseases are the leading cause of death among Black American adult males. Health behaviors that contribute to CV disease are probably learned during adolescence yet few researchers have studied the factors that influence health promotion behaviors in adolescent Black American males. This study described the health barriers, health perceptions (health self-efficacy and health status), and CV risk factors reported by and the influence of these variables on health promotion behaviors of a sample of Black American adolescent males without known CV disease.

Methods and Procedures: A descriptive correlation study design was used to …

The Lived Experience Of Wives And Husbands With Coronary Heart Disease, Patricia A. Bradley Phd

Dissertations

The purpose of this feminist hermeneutic study was to discover the meaning of living in the community with a husband who has coronary heart disease (CHD). Ten women, aged 47-74 who were married from 4 to 55 years, participated in unstructured face to face interviews. The women were interviewed 6 to 18 months after their husbands were diagnosed with medically or surgically treated CHD. Audio recorded transcribed interview data were analyzed to identify the essential themes and sub-themes. Texts were interpreted guided by hermeneutic phenomenology (Gadamer 1960/1989; 1976) and van Manen's (1990) research activities. A feminist lens was applied to …

Transition To Nursing Home Of Korean-American Elders, Myungja Kim Hahm Phd

Dissertations

The purpose of this study was to explore factors affecting Korean-American (KA) elders during the transition to nursing homes in the first month following admission. The three aims of this proposed study were (1) to explore culture specific factors that affect KA elders' perspectives during the transitional period to a nursing home, (2) to identify thoughts and feelings of KA elders about their admission into a nursing home, (3) to describe the adjustment process associated with admission to a nursing home. A grounded theory design was utilized to explore KA elders' perceptions/experiences associated with adjustment to a nursing home. Open-ended, …

Best Practices In Second Stage Labor Care: Maternal Bearing Down And Positioning, Joyce Roberts, Lisa Hanson

College of Nursing Faculty Research and Publications

Despite evidence of adverse fetal and maternal outcomes from the use of sustained Valsalva bearing down efforts, current second-stage care practices are still characterized by uniform directions to “push” forcefully upon complete dilatation of the cervix while the woman is in a supine position. Directed pushing might slightly shorten the duration of second stage labor, but can also contribute to deoxygenation of the fetus; cause damage to urinary, pelvic, and perineal structures; and challenge a woman’s confidence in her body. Research on the second stage of labor care is reviewed, with a focus on recent literature on maternal bearing down …

The Role Of The Clinical Educator In Evaluating Nursing Competency, Linda A. Schoene Msn, Rn, Carole A. Kanusky Rn, Msn, Cns

Advances in Teaching and Learning Day Abstracts

INTRODUCTION: Evaluation of nursing competency is critical to assuring patient safety and maintaining high professional standards in the practice of nursing. All nurses must graduate from an approved nursing program and successfully pass the national board exam before receiving initial licensure. State boards of nursing fulfill the role of gatekeeper, seeking to assure the public that nurses provide safe, competent care. In turn, high public awareness and patient advocacy initiatives require close monitoring of nursing competency. [See PDF for complete abstract]

A Study Of The Impact Of Adult Day Care Centers On The Caregivers Of Clients With Dementia, Abby L. Olsen

Honors Theses

The purpose of this descriptive study was to evaluate the impact of adult day care centers (ADC) on the perceived stress of the caregivers of loved ones with dementia and on their perceptions of their loved one's level of functioning or quality of life. Five caregivers whom had a loved one attending the same ADC were interviewed to obtain qualitative data concerning their perceptions about ADC utilization. Two assessment tools, the Caregiver Strain Index and the QA Study Assessment Tool were also used to determine quantitatively the impact of adult day care attendance on caregiver stress. The results suggested that …

Uab Nursing - Spring 2007, University Of Alabama At Birmingham

UAB Nursing magazine

No abstract provided.

Ambulatory Care Adverse Events And Preventable Adverse Events Leading To A Hospital Admission, Donna M Woods, Eric J Thomas, Jane L Holl, Kevin B Weiss, Troyen A Brennan

Faculty, Staff and Student Publications

BACKGROUND: Most healthcare in the US is delivered in the ambulatory care setting, but the epidemiology of errors and adverse events in ambulatory care is understudied.

METHODS: Using the population-based data from the Colorado and Utah Medical Practices Study, we identified adverse events that occurred in an ambulatory care setting and led to hospital admission. Proportions with 95% CIs are reported.

RESULTS: We reviewed 14,700-hospital discharge records and found 587 adverse events of which 70 were ambulatory care adverse events (AAEs) and 31 were ambulatory care preventable adverse events (APAEs). When weighted to the general population, there were 2608 AAEs …

Values Of Sleep/Wake, Activity/Rest, Circadian Rhythms, And Fatigue Prior To Adjuvant Breast Cancer Chemotherapy., Ann M. Berger, Lynne A. Farr, Brett R. Kuhn, Patricia Fischer, Sangeeta Agrawal

Journal Articles: College of Nursing

Fatigue is the most prevalent and distressing symptom experienced by patients receiving adjuvant chemotherapy for early stage breast cancer. Higher fatigue levels have been related to sleep maintenance problems and low daytime activity in patients who have received chemotherapy, but knowledge describing these relationships prior to chemotherapy is sparse. The Piper Integrated Fatigue Model guided this study, which describes sleep/wake, activity/rest, circadian rhythms, and fatigue and how they interrelate in women with Stage I, II, or IIIA breast cancer during the 48 hours prior to the first adjuvant chemotherapy treatment. The present report describes these variables in 130 females, mean …

Psychometric Testing Of The Walker's Feelings And Thoughts About Weight Scale In Taiwan, Shu-Wen Chang Phd

Dissertations

Background: The majority of women do not return to their pre-pregnant weight after six weeks postpartum in Taiwan. Excessive postpartum weight retention or gain can lead to long-term obesity and increase a woman's risk of major health problems. Trends among Taiwanese women reveal an increasing prevalence of obesity. Limiting postpartum weight retention is important for preventing long-term obesity development. Objectives: The purpose of this study was to examine predictors of postpartum weight gain among Taiwanese women using the modified Thriving Model (Walker & Kim, 2002) as the guiding conceptual framework and to examine the psychometric properties of a Chinese Version …

Symptom Burden At End Of Life In Patients With Terminal And Life-Threatening Illness In Intensive Care Units, Peggy G. Kalowes Phd, Msn, Rn, Cns

Dissertations

The purpose of this study was to examine the symptom burden and severity of symptom distress reported by ICU patients at high-risk for death and to compare patient-rated symptoms and distress for concordance with symptoms reported by a family member. A prospective, correlational design with two data-points was used to study a convenience sample of 80 patients and 53 family members. The Condensed Memorial Symptom Assessment Scale (CMSAS) was used to gain patient/proxy report of symptoms on the first and third day after admission to the ICU. The majority of patients were symptomatic (98%), reporting an average of 10.23 symptoms. …

Navy Nurses' Experiences During Operation Unified Assistance Aboard The Usns Mercy: A Grounded Theory Study, Angelica L.C. Almonte Phd

Dissertations

On December 26, 2004, the most powerful earthquake in 40 years erupted under the Indian Ocean triggering a deadly tsunami that devastated 11 Asian and African countries and killed more than 280,000. The US Navy responded through Operation Unified Assistance (OUA). In a historic first on the hospital ship USNS MERCY, the U.S. Navy deployed one team with members from the Navy, the U.S Public Health Service, a non-government organization (NGO), and a civilian mariner crew to provide humanitarian aid. Despite these efforts, there is a dearth of scholarly research work published on nurses' experiences during the disaster. The purpose …

Transitioning From Acute Care To Ambulatory Care, Beth Ann Swan

College of Nursing Faculty Papers & Presentations

Trends in health care financing and changes in care delivery from the hospital to outpatient settings have caused an unprecedented demand for registered nurses in ambulatory care.

Nurses transition to ambulatory care expecting to use the same knowledge base and skill set used in their acute care practice.

While some knowledge and skills may be transferable, competencies (and additional knowledge and skills) needed by acute care nurses and ambulatory care nurses are not the same.

The purpose of this article to is describe and dispel myths associated with ambulatory care nursing practice and discuss the knowledge, skills, and competencies that …

Estimating The Supply Of And Demand For Bilingual Nurses In Northwest Arkansas, Katherine A. Deck

Publications and Presentations

In 2004, researchers at the Center for Business and Economic Research (CBER) in the Sam M. Walton College of Business at the University of Arkansas prepared a report that detailed the projected shortage of minority nurses in the four county region of Northwest Arkansas. The study focused particularly on the Hispanic residents of Northwest Arkansas, as projections showed the estimated proportion of the total population for that ethnicity increasing from 9.5 percent in 2005 to 16.0 percent in 2025. A separate set of projections in the report estimated that the proportion of the nursing workforce with Hispanic ethnicity would increase …

Enter The Health Zone: How Summer Camps Introduce Students To Health Care Careers, Cathy H. Abell, Maria Eve Main, Liz Sturgeon, Deanna Hanson, Kim Botner

Nursing Faculty Publications

No abstract provided.

Integrating Patient Safety Into Curriculum: The Purdue University Doctor Of Nursing Practice, Kathryn Rapala, Julie Cowan Novak

College of Nursing Faculty Research and Publications

The Institute of Medicine (IOM) reports Crossing the Quality Chasm: A New Health System for the 21st Century (2001) and To Err Is Human (2000) were tipping points in patient safety. The public reaction to these reports was significant. People paid attention. The report energized patient safety research and applications, prompting much needed research and evidence-based practice. It is difficult to find a patient safety article that does not reference at least one of these landmark reports.

These early IOM reports were a catalyst for the development of the Doctor of Nursing Practice degree at Purdue University. Subsequent healthcare summits …

Post‐Exercise Substrate Utilization After A High Glucose Vs. High Fructose Meal During Negative Energy Balance In The Obese, Thomas J. Tittelbach, Richard D. Mattes, Randall J. Gretebeck

College of Nursing Faculty Research and Publications

Objective: To assess the effects of negative energy balance on the metabolic response of a meal containing either glucose or fructose as the primary source of carbohydrate after exercise in obese individuals in energy balance, or negative energy balance.

Research Methods and Procedures: Fourteen adults with mean body mass index (BMI) 30.3 ± 1 kg/m², age 26 ± 2 years, and weight 93.5 ± 5.4 kg, adhered to an energy‐balanced (EB) or a negative energy‐balanced (NEB) diet for 6 days. On Day 7, subjects exercised at 70% VO_2peak for 40 minutes then consumed either high glucose …

Symptom Clusters In Acute Myocardial Infarction: A Secondary Data Analysis, Catherine J. Ryan, Holli A. Devon, Rob Horne, Kathleen B. King, Kerry A. Milner, Debra K. Moser, Jill R. Quinn, Anne Rosenfeld, Seon Young Hwang, Julie J. Zerwic

Nursing Faculty Publications

Background: Early recognition of acute myocardial infarction (AMI) symptoms and reduced time to treatment may reduce morbidity and mortality. People having AMI experience a constellation of symptoms, but the common constellations or clusters of symptoms have yet to be identified.
Objectives: To identify clusters of symptoms that represent AMI.
Methods: This was a secondary data analysis of nine descriptive, cross-sectional studies that included data from 1,073 people having AMI in the United States and England. Data were analyzed using latent class cluster analysis, an atheoretical method that uses only information contained in the data.
Results: Five distinct clusters of symptoms …