Medicine and Health Sciences Commons^™

Fetal Infant Mortality In Kalamazoo, Lisa A. Wullschleger

Masters Theses

The purpose of this retrospective study was to examine the incidence rates of five pre-selected perinatal variables that existed within the white and non-white groups of fetal, infant deaths that occurred in Kalamazoo County between January 1, 1995 and December 31, 1997. The variables were prenatal care, birth weight, estimated weeks of gestation, and maternal, fetal, infant medical complications. The question posed was as follows: Is there a difference in incidence rates of the variables between the white and non-white perinatal deaths in Kalamazoo County?

A sample size of 50 cases was studied. Kotelchuck's instrument tool (1994), the Adequacy of …

Needs Of Families Of Severe Traumatic Brain Injured Individuals During The Critical Care Experience, Victoria L. Meyers

Masters Theses

Traumatic brain injury occurs without warning, disrupts the life of the individual and family, causing stress. The purpose of this descriptive study was three part: to identify the needs of families of severe traumatic brain injured (TBI) individuals during the critical care experience, to identify who met those needs, and to obtain qualitative data regarding nursing care. Family Systems Theory provided the theoretical framework to support this study.

A convenience sample from a large Midwestern teaching institution consisted of 28 family members of severe TBI individuals. The sample received by mail a demographic profile, a questionnaire (Critical Care Family Needs …

Ambulatory Surgery Nurses' Perceptions Of Their Ability To Provide Individualized Patient Care, Rebecca L. Brown

Masters Theses

This descriptive correlational study examined the extent to which nurses in an ambulatory surgery practice environment perceive their ability to individualize patient care. As patients shift to the outpatient setting, it is important to look at the effect this may have on individualizing patient care, a concept rooted in the foundation of the profession of nursing. Registered nurses from four ambulatory surgery sites within one large health care system in western Michigan were asked to rate the frequency which they performed select nursing care actions using the 45-item .Ambulatory Individualized Care Index (AICl). modified from van Servellen's (1988a) Individualized Care …

Differences Between The Nursing And Family Member Role In Acute Pain Assessment In Senior Nursing Students, Debra L. Fitzpatrick

Masters Theses

The purpose of this study was to explore how nursing students’ decisions regarding pain assessment and analgesic use may be influenced by the role the student assumes in hypothetical situations, specifically the role of nurse or family member. It was hypothesized that there would be no statistically significant difference in pain assessment, in choice of analgesic dose, and in concerns about analgesics.

A descriptive correlational design was used. A sample of 83 senior nursing students within two weeks of graduation was used. The instrument used was one of two surveys created by McCaffery and Ferrell (1997). All respondents were asked …

Quality Of Life For Women Living With Advanced Breast Cancer, Maureen Mika Eberly

Masters Theses

Parse’s Human Becoming Theory of nursing and research methodology were used to describe the structure of the meaning of quality of life for women living with advanced breast cancer. Three core concepts surfaced: grieving-adjusting remaining connected to ordinary life events, reinforcing-distancing relationships preserving individuality, and choosing opportunities clarifying purpose. Through conceptual integration these emerged as valuing the connecting-separating of powering unique ways. This study enhances the knowledge on quality of life, expands Parse’s theory of nursing, and demonstrates the value of Parse’s methodology for uncovering the meaning of lived experiences. Implications for further research and practice are discussed.

Effective Clinical Teaching Behaviors As Perceived By Associate And Baccalaureate Degree Nursing Students, Karyn L. Abrahamson

Masters Theses

The purpose of this study was to identify the most effective clinical teaching behaviors (ECTB) perceived by Associate Degree Nursing (ADN) and Baccalaureate Degree Nursing (BSN) students. An exploratory, descriptive design was implemented. ADN and BSN students (N=55) were surveyed using the Clinical Teaching Evaluation (CTE) instrument designed by Fong (1991). The CTE consists of 25 teaching behaviors that are ranked on a five point Likert-type scale according to importance. The collected data were analyzed using descriptive statistics. Significant differences in perceptions of ECTB between the two groups were identified by a Mann Whitney U procedure.

The study findings indicate …

Physician Perceptions Of Behaviors Associated With The Nurse Practitioner Role, Elizabeth J. Sperry

Masters Theses

While the number of nurse practitioners (NPs) continues to grow, their role and scope of practice can be misunderstood. King’s interacting systems framework was the theoretical basis for this study. This descriptive study asked a convenience sample of physicians (n=128) to indicate their agreement with 37 behaviors for the NP role. The sample was 74.2% male, 49.2% ages 41-50, and 63 .2% practiced primarily in an office setting. Bambini’s (I995) modification of Hupcey’s (1994) instrument was used and internal consistency was measured using Cronbach’s alpha .97. Behaviors perceived as most appropriate for NPs were those that related to education. A …

The Relationship Between Physician Knowledge, Physician Background, Experience With Nurse Practitioners And Role Expectations For The Nurse Practitioner, Heidi Brands Flamming

Masters Theses

This descriptive study examined the relationship between physician knowledge and role expectations as influenced by experience with nurse practitioners. The sample consisted of 111 physicians practicing in West Michigan. Data was collected using a combination of instruments--a nurse practitioner role behavior tool (Hupcey, 1994) and nurse practitioner/physician role appropriate vignettes (Davidson & Lauver, 1984). Physician knowledge of the nurse practitioner role was significantly higher (t = -2.85; p = .005) for the group of physicians who had practiced with a nurse practitioner as compared to the group of physicians who had not practiced with a nurse practitioner. Role expectations between …

Learning Needs Perceived By The Patient Considering Radiation Therapy And The Radiation Oncology Nurse, Kathleen E. Bell

Masters Theses

The purpose of this study was to describe the congruency between what the patient who is considering radiation therapy perceives his learning needs to be and what the radiation oncology nurse perceives the learning needs of the patient to be. This descriptive design used convenience sampling. The subjects consisted of 56 patients and 8 radiation oncology nurses who were recruited from a regional hospital system with two separate radiation oncology settings.

Data were obtained after the radiation oncology nurse provided an overview of the (a) purpose of radiation therapy, (b) type of radiation prescribed, (c) mechanism of radiation action, (d) …

The Relationship Of Selected Health Beliefs And Exercise Adherence 8 To 12 Months After A Cardiac Event, Jill Stone

Masters Theses

The purpose of this study was to examine differences between health beliefs and cardiac exercise adherence at 6-12 weeks after a cardiac event as compared to 8-12 months post event. Twenty five subjects participated at time one and time two by answering mailed questionnaires designed to measure perceived benefits, perceived barriers, self-efficacy, exercise adherence, and demographic data.

Data analysis did not reveal a significant difference in exercise adherence or perceived benefits, but results did support a statistically significant difference in perceived barriers (p=.02) and self-efficacy (p=.03) from time one to time two. Subjects perceived higher levels of barriers related to …

Reducing Immunization Pain Perception In Preschoolers With Therapeutic Touch., Patricia Emily Smyth

All ETDs from UAB

No abstract provided.

Living With Loss: The Lived Experience Of Spousal Bereavement In Men Aged 40 To 60., Luann Miller Daggett

All ETDs from UAB

No abstract provided.

Young Women's Experiences Of Dating Violence: A Phenomenological Study., Melinda E. Rush

All ETDs from UAB

No abstract provided.

The Meaning Of Stroke In Elderly Women: The Lived Experience., Edith L. Hilton

All ETDs from UAB

No abstract provided.

The Lived Experiences Of Persons Dependent On Hemodialysis, Molly A. Kidner

Masters Theses

End Stage Renal Disease (ESRD) affects almost 300,000 people in the United States. The growth rate is estimated at six to seven percent per year. Of these, over 182,000 chose hemodialysis as the treatment regimen to sustain their lives. Qualitative research is relatively absent specific to this population.

The purpose of this phenomenological study was to discover the lived experiences of persons dependent on hemodialysis. Four self-identified persons dependent on hemodialysis were asked to describe their experiences of being a person dependent on hemodialysis. The verbal descriptions were tape-recorded and transcribed verbatim. These descriptions were analyzed for meaning using the …

A Phenomenological Study Of Clinical Decision Making By Flight Nurse Specialists In Emergency Situations, Dale M. Pugh

Theses: Doctorates and Masters

Clinical decision making is an integral, multifaceted phenomenon fundamental to nursing practice. The domain of flight nursing practice is unique in terms of knowledge, structure, clinical presentations and environment. The uniqueness and diversity of patient scenarios and the advanced practice level of the flight nurse role blend to provide a potential rollercoaster flight mission. At the time this research was conducted nursing standards to guide clinical decision making were being developed. Medically orientated clinical guidelines were in place, but they were designed to highlight a specific, well defined clinical scenario or skill. It has been argued that guidelines for nursing …

Reporting Misconduct : A Descriptive Study Of Whistleblowing In Nursing, Sally Mcdonald

Theses: Doctorates and Masters

This research examined the effects of whistleblowing and non-whistleblowing on nurses in Western Australia. A descriptive survey design was used to explore the physical, emotional and professional effects experienced by nurses who blew the whistle and nurses who did not blow the whistle on misconduct. This study also examined the effective and ineffective coping behaviours reported by participants. A questionnaire was developed based on Lazarus and Folkman's Stress/Coping model and mailed to 500 nurses in Western Australia. Of these, 100 returned the completed questionnaire, indicating a response rate of 20%. Ninety-five respondents wereincluded in the study; 70 were self-identified as …

A Mediterrannean Type Diet Reduced All Cause And Cardiac Mortality After A First Myocardial Infarction, A Commentary, Marilyn Frenn

College of Nursing Faculty Research and Publications

No abstract provided.

The Relationship Among Organizational Experiences And Career Outcomes As Perceived By African-American Nurse Managers., Mary Hunter Hill

All ETDs from UAB

No abstract provided.

Factors Influencing Adherence To The Childhood Immunization Schedule., Leanne C. Busby

All ETDs from UAB

No abstract provided.

Predictors Of Exercise Activity Among Rural Thai Older Adults., Taweeluk Vannarit

All ETDs from UAB

No abstract provided.

Caregiver Caring Behaviors As Perceived By Hiv -Positive African -American Women., Daphne Kennedy Williams

All ETDs from UAB

No abstract provided.

Identification Of Barriers To Adherence To Prescribed Schedules For Self-Monitoring Of Blood Glucose, Victoria E. Sawhill

Masters Theses

The purpose of this descriptive study was to identify barriers to adherence to prescribed self-monitoring blood glucose (SMBG) schedules. Data were collected from a convenience sample of 40 diabetic patients from a rural northern Michigan community, ages 18-84, who completed the modified Barriers to Self-Monitoring Blood Glucose Scale (BSMBG) (Jones, Remley, & Engberg, 1996). The study’s theoretical framework was the Health Belief Model (HBM) (Rosenstock, Strecher, & Becker, 1994).

The modified BSMBG scale had a reliability coefficient of 0.95 using Cronbach’s alpha. Individual barrier scores were varied indicating a need for individualized assessment of barriers to SMBG. Data analysis demonstrated …

Hiv Risk Factors In Migrant Farmworkers, Gina Rosenberg

Masters Theses

The purpose of this study was to examine the HIV/AIDS knowledge level and risk behaviors in Hispanic migrant farm workers in west and southwest Michigan. A secondary data analysis was performed to measure HIV/AIDS-related knowledge and risk behaviors. Overall knowledge level and risk behavior scores were developed for further data analysis. A Pearson R Correlation Coefficient was calculated and showed that the relationship between knowledge level and risk behaviors was not statistically significant.

Coefficients were also calculated for age, educational levels, and number of months spent in Michigan first with the knowledge level index, and then with the risk behavior …

The Effects Of Role-Play And Simulation As Pregnancy Prevention Strategies On Knowledge And Attitude Of African-American Adolescents In An Urban Community, Laura B. Moody

Masters Theses

This quasi-experiment study tested the effectiveness of a simulation program on African American adolescent females’ attitude toward having a baby and their knowledge of risk factors associated with pre-marital sex. The experimental group (n=15) participated in Baby Think It Over (BTIO), a program using infant simulators (computerized dolls) and a didactic program - Saving Ourselves (SOS) and the Next Generation. The control group (n=15) was selected from a Black church.

The experimental group didn't significantly increase their attitude or knowledge scores and was not significantly more knowledgeable than the control group on post-testing. They did have significantly more realistic post-test …

Gender Differences In Importance Of Stroke Health Beliefs In Timing Of Seeking Treatment For Acute Stroke Symptoms, Brenda S. Nyenhuis

Masters Theses

The purpose of this study was to describe gender differences in importance of stroke health beliefs in timing of seeking treatment for acute stroke symptoms. The data came from a larger study titled ‘Discovering Factors Related to the Timing of Seeking Health Care for Acute Stroke Symptoms” (ODonnell, Roberts, Ruhlandt, & Baer, 1999). The current study included 51 subjects who were asked to rate the importance of 13 belief statements on their decision to seek treatment. The Health Belief Model (HBM) was the conceptual framework for this study.

Data were analyzed using frequencies, percentages and Mann-Whitney U. There were no …

Patient Perception Of The Role Of The Nurse Practitioner In Primary Care, Betsy J. Mulder

Masters Theses

As nurse practitioners (NP) provide services to a variety of health care consumers, there remains ambiguity regarding their scope of practice. This descriptive, comparative study asked a convenience sample of patients who have had contact with nurse practitioners (n = 56), and those patients who have had no contact with nurse practitioners (n = 51), to indicate their agreement with the appropriateness of behaviors for the NP role. A questionnaire used by Bambini (1995) was modified for this study with an alpha reliability of .95. Perceptions of behaviors were ranked according to the level of perceived appropriateness. None of the …

Factors Involved In The Decision To Utilize The Emergency Department For Health Care, Teri R. Simpson

Masters Theses

The purpose of this study was to investigate the reasons people choose to use the Emergency Department (ED) for health care. Roy's adaptation model was used as the conceptual framework for this study. A convenience sample of patients were interviewed during one weekday eight hour period. The interview addressed such factors as reason for visit, age, race, gender, living situation, income, and health insurance provider. Data analysis using descriptive methods revealed the person most likely to choose the ED for health care is a Caucasian female in her early twenties with a median income of $15,000. She is a blue …

Relationship Between Pulse Oximetry Measurements And Admission To A Hospital In The Wheezing Pediatric Population, Christine K. Dunnuck

Masters Theses

The purpose of this study was to assess the usefulness of pulse oximetry measurements as an objective measure of the severity of wheezing in pediatric emergency clients as demonstrated by subsequent admission. An ex-post facto study design with a retrospective chart review was used. Subjects (n=198) ranged in age from one month to 17 years. Consecutive admissions and random sampling of those discharged were used. Hypotheses were: (a) lower initial pulse oximetry measurements would increase the likelihood of admission and (b) younger patients would be admitted with higher pulse oximetry measurements.

Chi-square analysis and one way ANOVA statistical testing demonstrated …

The Effect Of An Initial Clinical Nursing Experience In A Nursing Home On Associate Degree Nursing Student Attitudes Toward The Elderly, Rita Lareau

Masters Theses

The purpose of this study was to examine the change in associate degree nursing (ADN) students’ attitudes toward the elderly following an initial clinical nursing experience in a nursing home. The Neuman Systems Model (Neuman, 1995) was the conceptual focus for the research. A convenience sample of ADN students in a basic nursing care clinical course at a community college was used. The Kogan Attitudes Toward Old People Scale (Kogan, 1961) was utilized to assess student attitudes toward the elderly. A pretest was administered at the beginning of the course prior to the nursing home experience, and a post-test was …