Medicine and Health Sciences Commons^™

The Impact Of Shared Governance On Decisional Condition, Job Satisfaction, And Intent To Leave Among Staff Nurses In Hospitals., Maxine E. Bernreuter

All ETDs from UAB

No abstract provided.

Evaluation Of An Educational Intervention To Increase Cultural Competence Among Registered Nurses., Linda Sue Smith

All ETDs from UAB

No abstract provided.

Transforming Decision-Making In African-American Women: Effects Of A Culturally Sensitive Breast Self-Examination Intervention., Gloria Jones Taylor

All ETDs from UAB

No abstract provided.

The Essential Elements Of Spirituality Among Rural Thai Elders., Tassanee Tongprateep

All ETDs from UAB

No abstract provided.

Self-Care Agency, Learned Helplessness, And Health Status In Elderly Adults., Carol Dennis

All ETDs from UAB

No abstract provided.

Condom Use Among Gay And Bisexual Men: The Transtheoretical Model Of Behavioral Change Explored Via The World Wide Web., Donna Lynn Gullette

All ETDs from UAB

No abstract provided.

Characteristics And Perceptions Of Trauma Recidivists And Non-Recidivists, Vicki A. Keough

Dissertations

No abstract provided.

The Caregiver's Experience Of Deliberative Mutual Patterning With Pain-Ridden Substance Users, Gaile Hausaman Nellett

Dissertations

No abstract provided.

Belief-Desire Reasoning In Zimbabwean Children: A Search For Evidence Of The Universality Of A Child's Theory Of Mind, Chipo Dyanda

Dissertations

No abstract provided.

Quality Of Care Provided To Hiv-Infected Clients By Nurse Practitioners At A Specialized Nursing Center, Deborah A. Griggs

College of Graduate Studies: Theses & Dissertations (1964–2006)

This study evaluates the quality of care provided by nurse practitioners HIVinfected clients in a specialized nursing center in Georgia. Quality of care is evaluated using Donabedians' Structure-Process-Outcome domains as presented in the Unifying Model of Quality Health Care. Structure is evaluated as the nurse practitioners in this clinic providing health care. The interpersonal aspect ofthe process of quality health care is measured by the researcher developed Outpatient Client Satisfaction Survey. The technical aspect ofthe process ofquality health care is measured by the researcher developed Provider Adherence Measurement Tool which measures adherence to current clinical practice guidelines. Reliability and validity …

The Effect Prone Positioning Has Upon The Oxygen Ratio Of Ventilated Children, Mary Schira

Masters Theses

The purpose of this study was to examine the effect of prone positioning on oxygen ratios for ventilated children. A retrospective research design was implemented to study the effect that changing ventilated children from the supine position to the prone position had upon their oxygen ratio two hours after the intervention. Twenty-three ventilated children admitted to an eight bed Pediatric Intensive Care Unit (PICU) in Southwest Nfichigan between January 1998 and July 1998 and were proned, had their medical records reviewed. Data analysis using a T-test for paired samples was performed to compare oxygen ratios just prior to proning and …

The Relationship Of Selected Health Beliefs And Exercise Adherence 6-12 Weeks Post Cardiac Event, Kristi L. Bianconi

Masters Theses

The hypothesis tested in this study was: Perceived benefits, barriers, and self-efficacy of individuals who are adherent to a cardiac exercise program will differ from individuals who are non-adherent. The study was a descriptive, correlational design using the Health Belief Model. Data were collected from 25 subjects, recruited from a private cardiology practice who participated in a cardiac rehabilitation program 6 to 12 weeks post hospitalization for a coronary event, defined as angina pectoris, myocardial infarction, coronary angioplasty or stenting, or coronary artery bypass grafting.

Measurement of subject’s responses to perceived benefits, barriers and self-efficacy were collected through mailed questionnaires. …

Correlates Of Symptom Distress In Breast Cancer Patients Receiving Cyclophosphamide, Methotrexate, And Fluorouracil, Denise J. Bakker

Masters Theses

The purpose of this study was to describe the relationship between symptom distress and health locus of control, perception of illness, perception of treatment efficacy, and social support in breast cancer patients receiving cyclophosphamide, methotrexate, and flourouracil as adjuvant chemotherapy in the outpatient setting. A prospective descriptive correlational design was used. A convenience sample of women (N = 33) with breast cancer was assessed using five measurement tools: the Symptom Distress Scale (McCorkle & Young, 1978), the Multidimensional Health Locus of Control scale (Wallston, Wallston, & DeVellis, 1978), the Norbeck Social Support Questionnaire (Norbeck, Lindsey, & Carrieri, 1981), and two …

Medication Administration In Schools, Stephanie A. Painter

Masters Theses

The purpose of this study was to describe current practice of medication administration to children during school attendance in a district in Michigan. Information was collected by an audit of the policy and procedure manuals and medication records to assess a number of variables. It was found that 213 doses of medications were administered in 8 schools (enrollment 6,000) on the day of the study. Most of these were administered by nurses (40.8%) and secretaries (12.2%). While 25 different medications were administered, the medication most frequently administered was methylphenidate (60%). Medications were administered orally, per inhaler, nebulizer, topically or injected. …

A Comparison Between Emergency Nursing Stress And Completion Of The Emergency Nursing Pediatric Course, Sheryl L. Veurink-Balicki

Masters Theses

A descriptive, retrospective, correlational study design was used to determine emergency nurses’ perceptions of stress before and after completion of the Emergency Nursing Pediatric Course (ENPC). A sample of 93 randomly chosen emergency nurses completed the Modified Clinical Stress Questionnaire.

Using the paired t-test, differences were found between the before and after mean scores on stress, threat, and challenge (p < .01). Scores were lower after ENPC for stress and threat, but higher for challenge. The t-test was used to compare the mean scores of nurses with and without certification in emergency nursing. The only significant difference between the two groups was on the threat score after ENPC, with the certified group reporting lower perception of threat (t = -2.40, p = .02). Overall, lower perception of stress was reported in all groups following ENPC.

Psychiatric Nurses' Perceptions Of Their Social Support, Elizabeth V.L. Howell

Masters Theses

This study investigated psychiatric nurses’ perceptions of their social support while working in a public psychiatric hospital. A descriptive correlational research design using a mailed self-administered questionnaire was employed for this study. Data collection and measurement of the phenomenon of perceived social support was done using the Norbeck Social Support Questionnaire (Norbeck, Lindsey, & Carrieri, 1995). The sample consisted of 57 registered nurses who had been employed for at least six months.

Data analyses consisted of reporting means, standard deviations, percentages, and range of scores for perceived social support. Results indicated emotional support (affect and affirmation) rated the highest among …

Parental Factors Affecting Child Restraint Device Use In Children Ages 3-5 Years, Peggy Sue Meulenberg

Masters Theses

Motor vehicle accidents are a leading cause of morbidity and mortality in children. Although Michigan law requires all children to be restrained, many children remain unrestrained or improperly restrained. The purpose of this study was to determine how preschool children are restrained and to examine where parents obtain information on restraining techniques. A descriptive study utilizing a newly developed questionnaire was performed. The Health Belief Model served as the conceptual framework. A significant relationship was found between parents who wore their seat belts all the time and the child being restrained. Most parents restrained their child by a lap and …

Evaluation Of Advanced Cardiac Life Support Written Examinations, Laura J. Borst

Masters Theses

This study was conducted using a descriptive research design to determine the quality of two Advanced Cardiac Life Support (ACLS) written examinations. In addition, the relationship between demographic variables and subjects’ performance on the written examinations was examined. Malcolm Knowles theory of Andragogy provided the Iramework for this study. A convenience sample of 367 subjects was recruited and randomly selected to take either Test A or Test B. The reliability estimates for Test A and Test B were found to be .45 and .54 respectively. Content validity and Item Analysis of test questions were performed. Relationships were found between Test …

Health Care Workers' Compliance With Glove Use And Variables That Influence Health Care Workers' Compliance With Glove Use, Angela C. Wallen-Counterman

Masters Theses

This study examined health care workers' compliance with glove use and variables that influence health care workers' compliance with glove use. A descriptive correlational design using a questionnaire given to health care workers in a long term care facility was employed for this study. The sample consisted of 28 health care workers who worked at the long term care facility. A modified Survey of Health Care Workers Use of Gloves (Henry, Maki, & Campbell,1992) was used to collect the data.

Data analysis consisted of reporting means, standard deviations, and range of scores for glove use compliance and variables that influence …

Early Discharge Planning : Primiparous Women's Perceptions Of Their Readiness For Going Home, Graeme N. Boardley

Theses: Doctorates and Masters

Early discharge for women after childbirth was introduced in Australia approximately ten years ago. Early discharge involves going home from hospital within three days of giving birth. Since its introduction, early discharge has been the subject of much debate. Previous research has argued the cost effectiveness and safety of early discharge, but little has been done to examine this phenomenon from the human aspect. An exploratory study of first time mothers, in an early discharge programme was undertaken to address how these women felt in relation to their readiness for going home. A purposive sample of twenty Caucasian, English speaking …

Nurse Practitioner Professional Autonomy: Relationship Between Structural Autonomy And Attitudinal Autonomy, Dolores C. Jones

UNF Graduate Theses and Dissertations

The purpose of this study was to identify and describe the possible components of structural autonomy that influence Nurse Practitioners' (NPs) perceptions of independence in practice. The components identified were NP state regulatory practices, educational background, and managed care environment. The study explored the relationship between NP structural autonomy as it relates to the above components and attitudinal autonomy as it relates to perceptions of independence in practice. A conceptual framework derived from a review of the literature demonstrated the possible relationships.

The investigator employed a mail survey to collect data from certified NPs in six eastern and mid-eastern states. …

Meperidine Attenuates The Secretion But Not The Transcription Of Il-1ss In Human Mononuclear Leukocytes, Donna O. Mccarthy, Susan Murray, Dawn Galagan, James E. Gern, Paul R. Hutson

College of Nursing Faculty Research and Publications

Background: The infusion of amphotericin-B (AmB) often produces clinically distressing rigors and chills, which promptly abate with intravenous injection of meperidine, although its mechanism of action is unknown.

Objective: To examine the effects of meperidine on the transcription or secretion of Interleukin 1β (IL-1β) in human mononuclear leukocytes (MNL) exposed in vitro to the lipopolysaccharide (LPS) contained inEscherichia coli endotoxin or to AmB.

Methods: Blood was drawn from eight healthy adult volunteers. The blood was centrifuged, and the layer containing MNL was separated; incubated with various combinations of medium, meperidine, and AmB; then tested for IL-1 content to determine …

Antley‐Bixler Syndrome: A Case Report And Discussion, Scott Lebard, Lisa Thiemann

College of Nursing Faculty Research and Publications

Antley-Bixler Syndrome (ABS) is an autosomal recessive trait disorder characterized by multiple bone and cartilaginous abnormalities. Primary features include significant craniosynostosis, midface hypoplasia with choanal stenosis or atresia, femoral bowing, radiohumeral synostosis, and multiple joint contractures. Cardiac, renal, and gastrointestinal malformations have also been described. This report describes the management of a four-month-old male who underwent cranial vault remodeling to relieve craniosynostosis and discusses the potential concerns of the anaesthetist during care of children with Antley-Bixler Syndrome.

Women's Perceptions Of Successful Breastfeeding During The Early Stages Of Being A Mother, Shelagh Lawrence

Theses: Doctorates and Masters

The purpose of this qualitative study, guided by Rubin's Model was to describe women's perceptions of successful breastfeeding during the early stages of being a mother. The transition to motherhood marks a time of great developmental change in a woman's life. Infant feeding is an important aspect of this adaptation to the maternal role. The physiological benefits of breastfeeding for mother and baby are well documented, but there is limited research on the psychological advantages of breastfeeding for the mother. This Masters research was a discrete part of a larger research project entitled the Perth Metropolitan Breastfeeding Study. This project …

Rural Palliative Care Nursing: A Modified Grounded Theory Study, Ruth Mcconigley

Theses: Doctorates and Masters

This paper presents the findings of a study of rural palliative care nurses in Western Australia. The numbers of rural centres in Western Australia offering palliative care services are increasing; however at present there is little empirical data available about the roles of the nurses involved. This study was undertaken to begin to correct this deficit. The study examines basic social processes associated with the role of rural palliative care nurses and identities issues that affect the nurses’ professional practice. A modified grounded theory approach was used to form a conceptual framework that describes rural palliative care nursing. Theoretical sampling …

Predicting The Severity Of Radiation Skin Reactions In Women With Breast Cancer, Davina Porock

Theses: Doctorates and Masters

Skin reactions are unavoidable side effects of radiotherapy for breast cancer that may limit the amount of treatment a patient is able to receive. As well, the discomfort associated with the treatment may negatively affect the patient's quality of life and their willingness to complete a course of treatment that typically extends over seven weeks. Prior literature suggests that variations in patients' tissue reactions to radiation may be related to Individual patient characteristics. Before health care providers can intervene to prevent or minimise skin reactions, a clinical model that helps predict which patients will experience more skin reactions is needed. …

Women's Perceptions Of Birth Centre Care: A Qualitative Approach, Karen Coyle

Theses: Doctorates and Masters

The purpose of this exploratory study was to describe women's perceptions of the care they received in a birth centre, compared to their previous experiences in a hospital. Australian statistics indicate that five percent of childbearing women now choose to receive care in a birth centre setting. Clinical outcomes of birth centre care are now well documented, but there is limited empirical data about women's experiences of this model of care. Seventeen women, who had recently given birth in a birth centre, and had previously experienced care in a hospital setting, were interviewed about their care experiences. Using content analysis, …

A Comparative Study Of Nursing And Non-Nursing Majors Knowledge And Attitudes Toward Hiv And Aids At The Sophomore And Senior Level, Diana R. Lubandi

Electronic Dissertations and Theses

The primary purpose of this study was to examine the impact of a baccalaureate nursing program on the knowledge and attitudes of United States nursing students towards HIV/AIDS. Mathematics and engineering majors were used as a comparison group and to control the threats to internal validity of history and maturation. Data for this study was obtained using an AIDS Knowledge Scale and an AIDS Attitude Scale in the form of questionnaires. A convenience sample of 103 students comprised of 30 sophomore nursing students, 34 senior nursing students, 16 sophomore Non nursing students and 23 senior non-nursing students was utilized. The …

Patients' Attitudes Toward The Use Of Nurse Practitioners, Laurie Maxwell

Masters Theses & Specialist Projects

Since the advent of the role of nurse practitioner in the mid 1960s, nurse practitioners have practiced in traditional settings such as health departments, clinics, and physicians' offices. More recently, nurse practitioners have been utilized in non-traditional settings such as the emergency department. Some studies have been done that support the theory that nurse practitioners can function effectively in this setting; however additional studies are needed on this topic. The purpose of this study was to explore patients' attitudes toward the use of nurse practitioners and to determine what patient variables were related to these attitudes. More specifically, this study …

Maternal Age: Influence On Length Of Gestation And Birth Weight, Charlotte Bratcher

Masters Theses & Specialist Projects

The findings indicated no significant differences among the age groups in relation to infant birth weight nor in relation to the risk factors of smoking, maternal weight gain, trimester of first entry into prenatal care, or marital status They did indicate a significant difference [F(2,85) = 4.1364, p < .05] between the oldest and the youngest group (CD = 3.37, a = .05) in relation to gestational length. These findings are significant for healthcare providers in rural areas, since much of the previous research had been done in highly urbanized or inner city settings.