Medicine and Health Sciences Commons^™

The Cultivation And Practice Of Spiritual Care Expertise In An Inpatient Palliative Care Setting, Gail Elaine Pittroff

Dissertations

Caregivers involved in palliative care seek to understand problems and challenges at end of life through research to determine the best care for patients and their families. Spiritual care is a key component of quality end of life care, yet there is a paucity of research on spiritual care in inpatient settings at end of life in nursing literature. The purpose of this study was to examine the personhood and spiritual care practices of inpatient palliative nurse consultants. This study describes expert nurse’s experience of delivering spiritual care for patients and families at end of life in inpatient palliative care …

An Evaluation Of Cardiorespiratory Responses And Ventilatory Efficiency During Treadmill And Cycling Exercise In Overweight Adolescents, Amanda Scheps

Theses and Dissertations

The assessment of ventilatory efficiency (VE/VCO2 slope) is increasingly being utilized to complement traditional cardiorespiratory fitness testing during graded exercise. The purpose of this study was to compare cardiorespiratory responses and ventilatory efficiency in obese children during a progressive exercise test to volitional fatigue performed on a treadmill and a cycle ergometer. Fifteen obese male (N=3) and female (N=12) adolescents aged 10 to 18 years were recruited in the study and completed both the treadmill and cycle ergometer trials. Mean age and BMI of the sample was 13.3 years and 38.0 kg/m2, respectively. Maximal oxygen consumption (VO2max) and ventilatory efficiency …

A Spatial And Health Burden Analysis Of Census Tract 85: Implications For Prevention And Intervention, Allison C. Edwards

Public Health Theses

New regulations requiring not-for-profit hospitals to provide documented evidence of charitable care and community benefits provide a unique opportunity for strategic and targeted investment within the given community of the hospital. And with a growing number of uninsured and underserved in the US, the need for tactical community benefits is increasing exponentially. The purpose of this capstone is to pool together the relevant resources and data necessary to guide and inform the decision making process involved in creating prevention and intervention programs tailored specifically to census tract 85. Utilizing several different forms of demographic and health data including Census, Online …

The Mother's Perspective: Understanding More About The Health Care Needs Of The Preschool Child With Autism, Margaret W. Bultas

Dissertations

Background Information: The prevalence of autism spectrum disorders (ASD) has dramatically risen over the last decades. It is known that children with ASD visit health care providers (HCP) more frequently than typically developing peers. Given behavioral and medical complexities of these children, mothers may experience barriers in this process. Purpose: The purpose of this study was to gain a better understanding of mothers’ experiences of taking their children to the HCP. Aims of this study were to reveal mothers’ concerns related to these experiences, examine resources and barriers affecting the quality of the visit, and discover more about the effect …

Using Led Lights As Prompts To Teach Receptive Identification To Preschool Children With Autism, Allison Pavlicek

Honors Theses

The purpose of the study "Using LED Lights as Prompts to Teach Receptive Identification to Preschool Children with Autism" is to implement a different prompting procedure than traditional least-to-most prompting procedures in teaching. One prompting procedure commonly used in discrete trial training classrooms involves least-to-most prompting in the form of gestural and physical prompts to guide children to make correct responses during teaching procedures. To specifically teach receptive identification skills, an apparatus with LED lights was used as a prompting device to vary light intensities on stimuli that the child will choose from. This alternate method of prompting may enable …

Proposing Research: An Undergraduate Learning Experience (Using Led Lights As Prompts To Teach Receptive Identification Of Preschool Children With Autism), Allison L. Pavlicek

Honors Theses

The purpose of the study “Using LED Lights as Prompts to Teach Receptive Identification to Preschool Children with Autism” is to implement a different prompting procedure than traditional least-to-most prompting procedures in teaching. One prompting procedure commonly used in discrete trial training classrooms involves least-to-most prompting in the form of gestural and physical prompts to guide children to make correct responses during teaching procedures. To specifically teach receptive identification skills, an apparatus with LED lights will be used as a prompting device to vary light intensities on stimuli that the child will choose from. This alternate method of prompting may …

Replicating Success: Developing An Educational Process For Improving Nursing Accuracy When Using A Patient Classification System, Dewey M. Moulton

Theses and Graduate Projects

The use of patient classification systems (PCS), within hospitals has been and still is utilized primarily for determining staffing requirements, based upon the projected needs of the patient. Since its conception in the 1950's, health care management has worked to develop a system that accurately depicts those needs to provide good patient care. Recently, a major tertiary health care center located in the Midwest region of the United States implemented a revised patient classification system within its acute care setting. Nurses were provided various levels of education regarding its use. Because of this, accuracy by nurses using the patient classification …

Awareness Cultivation: Designing A Transcultural Patient Family Advisory Council, Lisa G. Peterson

Theses and Graduate Projects

This project explores the rationale that supports designing and implementing a transcultural patient family advisory council (PFAC) at a large academic center in the Midwest where eight disease-diagnosis based PFAC's already exist. Potential pitfalls and obstacles that could interfere with such a council being successful will also be reviewed. In addition, Madeline Leininger's theory of Culture Care Diversity and Universality is applied to add support to this effort. Specifically, the stranger to trusted friend enabler explains how having such a committee can foster mutually beneficial relationships that demonstrate a change in culture and attitudes at this traditional physician-lead institution.

Caring Beyond Constraint: A Nursing Model Of Presence In A Time Limited Procedural Practice, Laura Becker

Theses and Graduate Projects

The purpose of this paper is to support the value of maintaining presence within a time limited procedural practice. Specifically, it presents the significance of a nursing presence model based on Jean Watson's human caring theory within an outpatient procedural endoscopy unit which has high patient volumes and time limited processes. It describes the process for developing a care model of nursing presence and methods used to integrate this model into practice. It also includes an evaluation of the methods to determine themes and make comparisons to determine effectiveness of theory integration into nursing practice.

Mother-Infant Synchrony During Infant Feeding, Barbara Reyna

Theses and Dissertations

MOTHER-INFANT SYNCHRONY DURING INFANT FEEDING By Barbara A. Reyna, PhD A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Virginia Commonwealth University, 2010. Major Director: Rita H. Pickler, PhD Endowed Nursing Alumni Professor Department of Family and Community Health Nursing, School of Nursing Synchrony between a mother and her infant is fundamental to their developing relationship. Feeding is an essential activity that provides an opportunity for interaction between a mother and her infant and may lead to synchronous interaction. The purpose this study was to develop and test a …

Spermatogenesis: Laser Microdissection Optimization, Deborah Ann Hansen

Dissertations

Studies link paternal environmental exposures to pesticides, herbicides, and radiation to adverse reproductive outcomes such as developmental delays, malignancies, and structural birth defects. To date, 900 children of Vietnam veterans with presumed Agent Orange exposure receive VA presumptive service connected benefits because these children have Spina Bifida. To date, there are limited data to explain the underlying causal mechanisms whereby paternal environmental exposures result in adverse reproductive events. Laser microdissection (LMD) is the only technology that allows the isolation of cell subpopulations from complex tissues such as the testes without disturbing the cell’s bimolecular signature. LMD is essential in the …

Haploinsufficiency Of Rai1 And Its Effect On Bdnf Expression, Sun Kim

Theses and Dissertations

Smith-Magenis Syndrome (SMS) [OMIM, #182290] is a congenital anomaly and mental retardation (MCA/MR) syndrome associated with deletion of chromosome17p11.2 [1]. The clinical phenotype has been well described and includes minor craniofacial anomalies, self-injurious behaviors as well as sleep disturbances, speech delays, and obesity [1,2,3]. The incidence of SMS is estimated to be ~ 1:15,000 - 25,000 births [2,6]. Among SMS patients, ~90% are comprised of 17p11.2 deletions, while ~10% have RAI1 mutations [8]. All 17p11.2 deletions associated with SMS include RAI1 deletion [10]. RAI1 is thought to function as a transcriptional factor although its cellular role is still unclear. First, …

Thinking Differently: Developing A Fall Risk Assessment For The Emergency Department Setting, Carissa K. Fauks

Theses and Graduate Projects

When a patient falls in the hospital it ends up being costly for both the patient and the hospital. Having an awareness of risk factors that lead to an increase in patient falls becomes very important for all nursing staff. However, the contributing factors are not the same for every department in a hospital. The focus of this proposal is the development of a fall assessment that is specific to the emergency department. Age, cognition, elimination, physical mobility, and medications were the risk factors determined to be most important after a review of the literature. Once the fall assessment scale …

When Curiosity Kills More Than The Cat: The Perils Of Unchecked Scientific Inquiry, Jamie Shannon

Pomona Senior Theses

This work analyzes the ecological, physical, emotional and health impacts of the US nuclear testing done in the Marshall Islands in the mid-20th century.

Facial Expression Discriminates Between Pain And Absence Of Pain In The Non-Communicative, Critically Ill Adult Patient, Mamoona Arif-Rahu

Theses and Dissertations

BACKGROUND: Pain assessment is a significant challenge in critically ill adults, especially those unable to communicate their pain level. At present there is no universally accepted pain scale for use in the non-communicative (cognitively impaired, sedated, paralyzed or mechanically ventilated) patient. Facial expressions are considered among the most reflexive and automatic nonverbal indices of pain. The facial expression component of pain assessment tools include a variety of facial descriptors (wincing, frowning, grimacing, smile/relaxed) with inconsistent pain intensity ratings or checklists of behaviors. The lack of consistent facial expression description and quantification of pain intensity makes standardization of pain evaluation difficult. …

An Analysis Of Ada Title I Allegations Of Workplace Discrimination As Filed With The Eeoc By Persons With Mental Illness, Jessica E. Hurley

Theses and Dissertations

ABSTRACT AN ANALYSIS OF ADA TITLE I ALLEGATIONS OF WORKPLACE DISCRIMINATION AS FILED WITH THE EEOC BY PERSONS WITH MENTAL ILLNESS Jessica Erin Hurley A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Health Related Sciences—Rehabilitation Leadership Virginia Commonwealth University, 2011 Dissertation Chair: Brian T. McMahon, Ph.D., CRC This study explores employment discrimination as experienced by persons with mental illness who filed allegations under Title I (the employment provisions) of the Americans with Disabilities Act (ADA) of 1990. The entire universe of employment discrimination allegations filed under Title I of the ADA …

Effects Of Taiji And Strength Training Interventions On Knee Osteoarthritis Of Older Adults, Michael George Wortley

Doctoral Dissertations

Objective. The objective of this study was to evaluate a 10-week Taiji intervention to a 10-week strength training intervention in terms of their ability to relieve osteoarthritis (OA) symptoms, alter gait, and improve mobility in seniors with knee OA.

Methods. Men and women between the ages of 60 and 85 years who met the American College of Rheumatology criteria for knee OA were recruited to participate in either a simplified Taiji program (n=12), an open-chain strength training program (n=13), or a control group (n=6). All participants completed the Western Ontario and MacMaster Universities Osteoarthritis Index (WOMAC), three physical performance tests, …

Mammography Screening Practices And Health Beliefs Of Women In East Tennessee, Peggy A. Johnson

Doctoral Dissertations

Abstract One of every eight women in the United States will be diagnosed with breast cancer in her lifetime. Although early detection of breast cancer is the most effective method of assuring survival, many women throughout the country do not avail themselves of this advantage. This study examined mammography screening practices of women age 55 and older who attended senior citizen centers in rural, non-metro, and metro counties in the areas designated by the Tennessee Department of Health as the Eastern Grand Division of Tennessee. Data was collected from four hundred women from fourteen counties in East Tennessee using the …

The Effect Of Technique Instruction On Biomechanical Risk Factors Associated With Acl Injury Risk In Female Recreational Athletes, Jeremiah Jackson Tate

Doctoral Dissertations

Background: Epidemiological studies have demonstrated higher ACL injury rates in female athletes when compared to males involved in the same sport. A recent meta-analysis of ACL injury prevention programs found that technique training was a common component of programs that were successful in reducing ACL injury.

Purpose: The primary purpose was to determine the immediate and long-term effects of technique training aimed at minimizing medial knee displacement during jump-landings in female recreational athletes. The secondary purpose was to determine if any transfer of skill occurred as a result of our technique training.

Study Design: Controlled laboratory study.

Methods: A total …

Diagnosis And Management Of Horses With Equine Metabolic Syndrome (Ems), Kelly Ann Chameroy

Doctoral Dissertations

In horses, a painful and often debilitating disease known as laminitis can result in impaired function and, in severe cases, euthanasia. Equine Metabolic Syndrome (EMS) is a syndrome in horses that results in development of laminitis and is characterized by the presence of general and/or regional adiposity (“cresty neck”), aberrations in blood lipid concentrations, insulin resistance (IR) and/ or hyperinsulinemia. Therapies have focused on improving the state of obesity and insulin resistance with the goal of diminishing the likelihood of laminitis development. A definitive cause for laminitis has not been established, but hyperinsulinemia and IR are likely candidates as experimental …

The Parents' Role In Childhood Obesity, Heather M. Wintrup

Psychology and Child Development

This paper is an examination of the current childhood obesity crisis in the U.S. and how this epidemic is related to psychological issues. Specifically, the role of parental forces on children’s health attitudes and habits is addressed. The following chapters will define and explain the current situation of childhood obesity, investigate the role parents have in contributing to their children’s weight development, and cover methods of intervention for families dealing with this serious health issue.

Cystic Ovaries In Dairy Cattle, Lacey Morgan Rosenberg

Dairy Science

The objective of this literature review was to determine the potential causes and factors affecting the incidence of ovarian cysts in dairy cattle as well as to examine functionality of various preventative methods and treatments of cysts. The end product was to be a document outlining all the information available on the three different types of cysts that can develop on the bovine ovary, follicular cysts, luteal cysts, and cystic corpora lutea. The literature that was reviewed, most in the forms of research papers, articles, and reviews, came primarily from scientific journals and published books. The literature reviewed was only …

The Development And Psychometric Testing Of A Hypertension Knowledge Instrument In A Vulnerable Population, Crescent Elayne Rowell

Theses and Dissertations (ETD)

The primary objective of the study was to assess the psychometric properties of a hypertension knowledge instrument in a vulnerable population. The secondary objective was to determine the association between hypertension knowledge and outcomes such as systolic and diastolic blood pressure and hemoglobin A1c.

A cross-sectional study was conducted using a convenience sample of 196 adults aged 18 years and older with hypertension. Item analysis was conducted to determine the reliability of the instrument. The factor structure was determined and confirmed using exploratory factor analysis and confirmatory factor analysis, respectively. Logistic regression analysis was used to determine the association between …

Item Analysis Of The Grammar Subtests Of The Cdi: Words & Sentences For African American Children, Zainab Maqsood

Honors Theses

No abstract provided.

Using The Body To Investigate The Impact Of Verbal And Physical Aggression While Working On An Acute Psychiatric Unit: An Artistic Inquiry Through Movement, Kimberly Brooke Kaufman

Creative Arts Therapies Theses

The purpose of my research is to investigate how adverse experiences can be a source of emotional positive transformation and growth. Using artistic inquiry, I hope to address the questions, “How can I maintain a sense of safety in an unsafe and ever-changing environment such as the inpatient psychiatric unit” and “How does my passion for dance/movement help me to survive and nurture self under these circumstances?” Using movement as my primary expressive medium, I will explore common themes and patterns that may arise through videoing and journaling my processes in response to these questions. Through an understanding of my …

The Emotional Road To Recovery: Tracking The Mind And Body Experience Of Shame In Women Recovering From Drugs And Alcohol, Nicole Dibacco

Creative Arts Therapies Theses

The purpose of this thesis project was to identify the emotional experiences of women who are in recovery for addiction on a verbal and non-verbal level and determine if shame is a predominant emotion. Through the combination of phenomenological and clinical case study methodologies, this thesis examines the verbal disclosures and movement responses of women within dance/movement therapy groups, through video recording and journal entries. Content analysis resulted in the identification of primary themes, which included circumstances related to relationship and responsibility, shame related to responsibility, goals for their relationships and for self. The resulting implications for dance/movement therapy methods …

A Heuristic Investigation Of Intuition In Dance/Movement Therapy Practice, Jessica Melville Goodin

Creative Arts Therapies Theses

This thesis is a heuristic examination of my experience of intuition as a new dance/movement therapist. The purpose of this investigation was to provide an inceptive inroad into the little explored but recently popular subject of intuition, specifically as it relates to dance/movement therapy and the use of the dance therapist’s intuition as a therapeutic resource. Creating a journal that captured my contemplation of intuition and my experiences of intuition, both in clinical dance/movement therapy work and in creative and personal experiences, was the primary method of data collection. My journaling was augmented by interviews with two practicing dance therapists. …

Multidimensional Analysis: A Video Based Case Study Research Methodology For Examining Individual Dance/Movement Therapy Sessions, Amanda Mitchell

Creative Arts Therapies Theses

Multidimensional Analysis, a video based case study research methodology, was created by this author to examine multivariable qualitative data and develop an understanding of the therapeutic value and relational characteristics of auditory, visual and contextual components in individual dance/movement therapy sessions. The purpose of this study is to evaluate the benefits and limitations of Multidimensional Analysis based on its development and use in a preliminary study. Multidimensional Analysis involved an examination of individual dance/movement therapy sessions as a whole, as differentiated moments, and again as a whole. Videotaping each session was the primary form of data collection from which all …

Strengthening The Therapeutic Relationship Through Mirroring In A Dance/Movement Therapy Group For People With Alzheimer's Disease: A Descriptive Study, Jennifer A. Pierce-Knapp

Creative Arts Therapies Theses

The purpose of this research was to explore the dance/movement therapy intervention of mirroring within a Chacian modality and its effects on creating, maintaining, and deepening a therapeutic relationship between two women who are living with Alzheimer’s and the researcher/facilitator, a dance/movement therapy intern. This research project was part of an internship at an adult day center for people living with Alzheimer’s. Six, half-hour, videotaped dance/movement therapy sessions were devoted to this thesis study.

The indicators, which exemplified that a therapeutic relationship was created, maintained, and deepened were changes in facial expressions and postural shifts. These indicators were noted through …

Support For The Supporter: Dance/Movement Therapy With Community Dwelling Spouses Of Long Term Care Residents Diagnosed With A Dementia Related Illness: A Clinical Case Study, Karla Jean Karpowicz

Creative Arts Therapies Theses

This thesis is the summation and findings of a clinical case study regarding dance/movement therapy with community dwelling spouses of long term care residents who have been diagnosed with a dementia related illness. The intention of this research was to raise awareness of the underserved population of supporters, and to examine how dance/movement therapy could serve to aid in the treatment of the issues community dwelling spouses face. Due to the scarcity of the literature on the primary topic, various relevant topics were examined. Research was found proving that anxiety, depression, and stress are the most prevalent issues being faced …