Medicine and Health Sciences Commons^™

Effects Of Teaching Resourcefulness And Acceptance On Affect, Behavior, And Cognition Of Chronically Ill Elders, Jaclene Zauszniewski, Abir K. Bekhet, Chien-Yu Lai, Patricia Mcdonald, Carol M. Musil

College of Nursing Faculty Research and Publications

This clinical trial examined changes in affect, behavior, and cognition in 176 chronically ill elders who were randomly assigned to Resourcefulness Training (RT), Acceptance Training (AT), or Diversional Activities (DA). The RT group improved on affect (t(1,42) = 4.91; p < .001) and cognition (t(1,42) = 2.03; p< .05) and these effects lasted 12 weeks. The AT group improved on affect (t(1,36) = 3.08; p < .01), but this improvement did not persist. The RT and AT groups both showed positive behavior changes after six weeks. There were no changes in the DA group. The findings suggest that teaching elders resourcefulness and acceptance of chronic conditions may promote healthy functioning and improve their quality of life.

Continued Professional Competence And Portfolios, Michelle Byrne, Teresa Delarose, Cecil A. King, Jane Stover Leske, Kathryn G. Sapnas, Kathryn Schroeter

College of Nursing Faculty Research and Publications

It is traditionally assumed that licensure of healthcare professionals means that they are minimally competent. Many nursing specialty organizations offer examinations and other processes for certification, suggesting that certification is associated with continued competency. Can standardized examination for certification and continuing education for recertification ensure continued competency? Continuing education and testing provide a limited picture of an individual's knowledge and/or skill acquisition in a limited area at one point in time. However, portfolios promote critical thinking, self-assessment, and individual accountability. A portfolio is a portable mechanism for evaluating competencies that may otherwise be difficult to assess. This article summarizes some …

Advocacy: The Tool Of A Hero, Kathryn Schroeter

College of Nursing Faculty Research and Publications

No abstract provided.

The Influence Of Religiosity On Contraceptive Use And Abortion In The United States, Richard J. Fehring, Jennifer Ohlendorf

College of Nursing Faculty Research and Publications

The CDC has conducted the National Survey of Family Growth (NSFG) every three to seven years between 1973 and 2002 to describe contraceptive use among women in the U.S. The data from these surveys are available to researchers to examine trends in contraceptive use and sexual behaviors. The purpose of this study was to examine data from the 2002 NSFG in order to determine the influence of religiosity on abortion and abortifacient contraceptive use, i.e., the use of the oral contraceptive pill (OC), the injected hormone Depoprovera (IC), the IUD, and hormonal emergency contraception (EC), among American women between the …

A Study Of The Caring Relationship Between Nurses And Culturally Diverse Clients, Carol Phillips

Theses and Graduate Projects

This is a qualitative study that examines the caring relationship between the nurse and the culturally diverse client. The purpose was to gain insight into the process of the delivery of culturally congruent care. A method of Hermeneutic Phenomenological analysis was used to discover the meaning within the stories told by the nurse participants.

The Impact Of Quiet Time On The Sleep Quality Of Cardiothoracic Surgery Patients, Kristina L. Nelson

Graduate Research Projects

The purpose of this study was to observe patients' quality of sleep on a cardiothoracic step-down unit before and after institution of an "undisturbed quiet time" policy from eleven o'clock in the evening until five in the morning. It was hypothesized that these patients have improved sleep quality after institution of the Quiet Time protocol. The comparative group, quasi-experimental study utilized the Verran and Snyder-Halpern Sleep Scale and Factors Influencing Sleep Questionnaire to measure sleep disturbance, effectiveness, and supplementation. Results demonstrated a decrease in sleep disturbance with initiation of the Quiet Time, but no significant change in sleep effectiveness and …

Recognition Of Depression In Primary Care Settings: The Influence Of Patient Age And Gender On Patient Care, Kelly Marie Monette

All-Inclusive List of Electronic Theses and Dissertations

Depression is a common condition that is often poorly detected in primary care medical settings. The elderly often fail to receive appropriate attention to their mental health needs, possibly due to physician's interpretation of physical and emotional changes as part of the normal aging process. The purpose of this study was to explore physicians' identification of depression and to determine whether age-related factors and gender impact recommendations for patient care. The respondents were full-time primary care physicians (N = 46; 63% male) who were randomly selected from a national listing of family medicine practitioners and primary care physicians (family medicine, …

Patient Handling Safety For Nursing Staff, Don Nielsen

Dissertations

The effectiveness of video scoring and feedback about the scoring of the components of safe patient transfers was observed among eight nursing staff members in a skilled nursing department within an acute care hospital.

An ABCA (and sometimes ABCDA), multiple baseline across individuals design was utilized in the study. The dependent variable under investigation was the percentage of safe lifting components. Following baseline measures, nursing staff participated in an information phase during which they reviewed and discussed components of safe patient transfers. A video scoring phase was introduced, during which, participants viewed and scored a model video of a patienttransfer. …

The Cost Of Negative Perceptions Of The Work Environment Among Intermediate Intensive Care Unit Nurses, Joselyn Peralta

Master's Projects

This descriptive study assessed the perceptions of the work environment and the retention plans among registered nurses (RNs) who worked in the Intermediate Intensive Care Unit at a tertiary university hospital. Results from the Moos Work Environment Scale found that nurses perceived high levels of work pressure and low levels of clarity, coworker cohesion, and supervisor support. Results indicated that the intent to leave the unit was dependent on the nurses having other options in nursing, desiring further education, an undesirable scheduling process and unsafe patient care. The direct and indirect costs to hospitals could be offset by developing strategies …

Stress Reduction: A Neighborhood Introduction, Barbara D. Johnson

Master's Projects

Responding to reported health concerns a stress reduction program was developed for residents of an urban Latino neighborhood struggling with poverty, crime, and limited access to healthcare. The revised Health Promotion Model (HPM) was used as a framework (Pender, 1996). A qualitative study testing a 5-week Mindfulness-based Stress Reduction (MBSR) intervention was imbedded into the program 18 months after its implementation. Utilizing a pre/post test design participants were predicted to demonstrate significant reductions in post-intervention mean scores for 3 self-report measures, the Cohen Perceived Stress Scale, General Sleep Disturbance Scale, and a modified Memorial Symptom Assessment Scale. A 91% drop …

Minority Adolescents At Risk For Obesity: Health Behaviors And Perceptions, Linda D. Jones

Master's Projects

The purpose of this study was to examine behaviors related to nutrition and physical activity of inner-city minority adolescents, and their perception of normal weight and overweight. The research study used a descriptive, non-experimental design which had a convenience sample of thirty-seven 8th grade minority adolescents who attended a chartered urban K-8 grade school in Northern California. There were no statistically significant differences in the results, however, over 50% of the students reported not eating the recommended daily servings of fruits and vegetables. Another 68% reported participating more than 30 minutes in exercising or playing sports during physical education class. …

Depression, Anxiety, Hazardous Drinking, Subjective Burden, And Rewards In Family Caregivers Of Patients With Chronic Liver Disease, Lois Vennesta Bolden

Theses and Dissertations (ETD)

This descriptive correlation study had three purposes. The study first described depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by family caregivers of patients with chronic liver disease (CLD). Second, the investigator compared depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by African Americans family caregivers with those reported by Caucasian family caregivers of patients with CLD. The third purpose was to determine the predictors of subjective burden and mental health status of family caregivers of persons with CLD.

A convenience sample of 73 caregivers of patients receiving …

Resilience And Depressive Symptoms In Midlife Women, Keverne L. Lehman

Masters Theses

Rates of depression are increasing throughout the world, with women experiencing depression twice as often as men. This study utilized the Neuman Systems Model to examine the relationship in midlife women between depressive symptoms and resilience. Women ages 35-55, selected from four health care settings, completed written surveys on demographic information, life events, depression, and resilience. Results supported depressive symptoms as a health concern for mid-life women: 32% reporting current or previous treatment for depression, and 24% screening positive for depression. Resilience, measured by the Polk Resilience Patterns Scale, was related to education, perceived health, conflict in the living situation, …

African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd

Dissertations

African-American children have their sexual debut (first voluntary penile-vaginal penetration) earlier thus are at disproportionately greater risk for more sexual partners and sexually transmitted infections. Father-child reproductive health communication was found to influence the timing of sex in other children however, a dearth of studies in African-American fathers existed. In this qualitative study reproductive health communication was explored in tape-recorded interviews of 19 African-American fathers from the perspective of critical theory, with the use of critical ethnography as methodology. How the content and pattern of reproductive health communication influenced sexual debut, and how fathers' moral/ethical stances influenced reproductive health communication …

The Power Of Collaboration With Patient Safety Programs: Building Safe Passage For Patients, Nurses, And Clinical Staff, Karlene M. Kerfoot, Kathryn Rapala, Patricia R. Ebright, Suzanne M. Rogers

College of Nursing Faculty Research and Publications

Patient safety is a relatively new field, with many opinions and few effectively proven approaches. One factor is clear: optimal patient safety outcomes cannot be achieved in isolation. Although it is well recognized that multidisciplinary collaboration in the healthcare setting is necessary to effect patient safety, collaboration with resources external to healthcare-academia and industry in particular-will not only aid but also quicken the patient safety efforts. The authors outline a healthcare system's use of all available resources to build a patient safety program.

Psychometric Properties Of The Readiness For Hospital Discharge Scale, Marianne E. Weiss, Linda Piacentine

College of Nursing Faculty Research and Publications

The purpose of the study was to assess the psychometrics properties of the Readiness for Hospital Discharge Scale (RHDS), a 23-item instrument that measures patients' perception of readiness for discharge. Data were obtained from 356 respondents from two urban tertiary medical centers (adult and children's) in the midwestern United States who were participants in a larger study of predictors and outcomes of readiness for hospital discharge. Confirmatory factor analysis, contrasted group comparisons, and predictive validity testing supported the 4-factor structure and construct validity of the instrument. Following deletion of two poorly performing items, Cronbach's alpha for the revised 21item scale …

Gmeiner, Jayne Interview For The Miami Valley College Of Nursing And Health Oral History Project, Carol Holdcraft, Jayne Gmeiner

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

Carol Holdcraft interviewed Jayne Gmeiner on November 15, 2006 about the founding of the Wright State University College of Nursing and Health. In the interview, Gmeiner discusses her career and her decision to come to Wright State as a student with the College of Nursing and Health.

Peters, Ann, Betty Schmoll, And Nancy Janssens Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Carol Holdcraft, Ann Peters, Betty Schmoll, Nancy Janssens

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

Donna Miles Curry and Carol Holdcraft interviewed Ann Peters, Betty Schmoll, and Nancy Janssens in the first group interview for the oral history project on November 13, 2006. In this interview they discussed the struggles and hurdles they faced while applying and beginning their nursing school in addition to their careers.

Violence And Coping Of Emergency Department Nurses, Sarah Fraser

Graduate Research Projects

The purpose of this research is to gather information about the types of interventions that best help victims of ED violence. Studies demonstrate that there is a definite problem of violence in the Emergency Department (ED). Studies also show there has been an increase in the victimization of ED staff. The problem of violence in the ED is not just a problem within the United States but also found in countries such as Ireland and Australia. There is a need to improve the safety measures of the ED so that staff will feel safe and can perform their jobs efficiently …

Youth Soccer Intervention For Childhood Overweight In Mississippi, Robert A. Leach D.C.

MSN Research Projects

The scourge of childhood obesity in Mississippi threatens to undermine progress made in other national health goals espoused by the Centers for Disease Control (CDC). Community-based youth sport activities, and specifically soccer, may lower Body Mass Index (BMI) and have the potential to provide the vigorous physical activity preventive and intervention indicated by studies to date, especially given the explosive growth o f the sport in the US recently among females. After gaining approval from the Starkville School Board, access to FitnessGram data of all 4^^ grade students at a public school was obtained and data revealed 57 female students …

Enhancing Evidence-Based Practice Through Collaboration, Pamela Springer, Carolyn Corbett, Noreen Davis

Nursing Faculty Publications and Presentations

Hospitals increasingly reference published evidence for any given procedure or guideline as part of the push towards evidence-based nursing. Medical centers and universities can develop a collaborative model to help support evidence-based practice. The authors describe a model of collaboration between a university and medical centers to enhance nurses’ knowledge and research skills and provide research opportunities for faculty.

Demonstrating The Value Of The Rn In Ambulatory Care, Beth Ann Swan, Regina Conway-Phillips, Karen F. Griffin

College of Nursing Faculty Papers & Presentations

During 2003, an estimated 906 million visits were made to physician offices in the United States (Hing, Cherry, & Woodwell, 2005).

Overall, 42% of visits to outpatient settings were attended by a registered nurse (Middleton & Hing, 2005).

Despite ambulatory care being the fastest growing site for care, it is the least studied.

The purpose of this article is to provide an overview of the role of the RN in ambulatory care and describe the direct and indirect economic value of RNs in ambulatory care settings.

Omega-3 Fatty Acid Consumption In The Reduction Of Sudden Cardiac Death: A Critical Appraisal, Katie J. Walker, A. Elaine Bond, Renea L. Beckstrand, Mary Williams

Faculty Publications

This article examines the effects of omega-3 fatty acid consumption in reducing sudden cardiac death risk, and provides useful dosing recommendations for patients–with or without a history of coronary heart disease–in a primary care practice.

Self-Mutilation In Adolescents: Recognizing A Silent Epidemic, Constance Glenn, Susan M. Denisco

Nursing Faculty Publications

This article describes the physical and emotional manifestations of self-mutilation behavior (SMB) in adolescents and provides information about diagnosis and treatment. The authors' own survey of school nurses' on-the-job experience with SMB is presented. Finally, the implications of the problem for nurse practitioners (NPs) who care for teens at risk for SMB are discussed.

Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd

Dissertations

While broad categories of health and influences on definitions of health have been identified, the process through which adults define and re-define health has not been researched. The purpose of this study was to investigate the process of defining health and appropriate health-related behaviors following a near-death experience (NDE) as an adult and to articulate a grounded theory of decision-making. Five men and 15 women from the United States and United Kingdom were interviewed and the data were analyzed using the constant comparative method. The basic social process was I Still Had to Go Through the Process of Understanding. Understanding …

Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd

Dissertations

Self-esteem and body image disturbances prominently figure into many physical and psychological health disorders such as depression, eating disorders, anxiety disorders, and chemical dependency. In Euro-American culture, media images of femininity and physical attractiveness reinforce generally held perceptions of the idealized female beauty as tall, white, slender, and often blond and blue eyed. The physical morphology of African-American women does not genetically "fit" this westernized standard of beauty with implications for their mental health. The socialization of African-American women in a culture that embraces a different ethnic standard of beauty influences their perceptions of how physically attractive they see themselves. …

What Are They Saying: Voices From The Inner City? Lived Experience Of Inner City African American Adolescents With Asthma, Othello Childress Phd

Dissertations

The purpose of this study was to investigate the lived experience of African-American adolescents with asthma who reside in an inner city community. The research in this area of interest is sparse, yet the morbidity and mortality rates related to asthma within the African-American population are greater than the general population. This study offers the experience of living with asthma from the perspective of the young African-American adolescent. Using phenomenological methodology, the nurse researcher selected 13 African-American adolescents; aged 12 to 15, who reside and attend middle school in the inner city. All of the participants had a confirmed medical …

Lancaster, Jeanette Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Jeanette Lancaster

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

Donna Miles Curry interviewed Jeanette Lancaster about the founding of the Wright State University College of Nursing and Health. In the interview Dr. Lancaster discusses her career and her decision to come to Wright State as faculty with the College of Nursing and Health.

Janssens, Nancy Interview For The Miami Valley College Of Nursing And Health Oral History Project, Donna M. Curry, Emily Pingrey, Nancy Janssens

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

Donna Miles Curry and Emily Pingrey interviewed Nancy Janssens about the Wright State University College of Nursing and Health. In the interview Ms. Janssens discusses her education at Wright State University.

Emergency Nurses' Perceptions Of Obstacles And Supportive Behaviors In End-Of-Life Care, Sondra Heaston, Renea L. Beckstrand, A. Elaine Bond, Sheri P. Palmer

Faculty Publications

Introduction: Little is known about emergency nurses' perceptions of either obstacles or supportive behaviors for providing end-of life (EOL) care to dying patients. The purpose of this study was to determine the perceived obstacles and supportive behaviors in providing EOL care to dying patients in emergency departments.

Methods: In this survey research, a 73-item questionnaire regarding EOL care was mailed to a geographically dispersed national random sample of 300 members of the Emergency Nurses Association. Descriptive statistics were calculated for the 54 Likert-type items and demographic items. Two open-ended questions were analyzed using content analysis.

Results: Returns after 3 mailings …