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Grand Valley State University

Theses/Dissertations

2003

Articles 1 - 4 of 4

Full-Text Articles in Medicine and Health Sciences

Effects Of A Supportive-Education Nursing Intervention On Quality Of Life In Patients With Heart Failure, Melodee L. Vanden Bosch Oct 2003

Effects Of A Supportive-Education Nursing Intervention On Quality Of Life In Patients With Heart Failure, Melodee L. Vanden Bosch

Masters Theses

The purpose of this secondary analysis was to examine the difference in quality of life (QOL) in home-care patients with heart failure (HF) receiving nursing intervention. The specific nursing intervention of interest was supportive-education (SE), based on Orem's (1995) self-care deficit theory. The second intervention of general health teaching acted as a placebo effect. The convenience sample of randomly assigned patients with HF was from two home-care agencies. The paired t-test was used to analyze the difference in QOL within the SE group and the placebo group from baseline to six months. The independent t-test was used to compare the …


The Influence Of Occupational Therapists' Worldview On Clinical Reasoning And Action: A Qualitative Study, Matthew P. Mekkes Jan 2003

The Influence Of Occupational Therapists' Worldview On Clinical Reasoning And Action: A Qualitative Study, Matthew P. Mekkes

Masters Theses

This qualitative study examines the influence of occupational therapists’ worldview on clinical reasoning and action. Recent clinical reasoning research has determined that this complex and multi-faceted process is more than applied theory. Some scholars in occupational therapy have identified intrapersonal factors as influencing clinical reasoning. However, the nature and role of the intrapersonal factors in clinical reasoning remains unclear. To increase understanding of this phenomenon, semi-structured interviews were conducted with expert therapists. Results suggest that a therapist’s worldview, specifically related to beliefs about human nature does affect the way they envision and enact the occupational therapy process. This influence is …


Investigation Of The Role Of Self-Efficacy In Postoperative Outcomes In Spinal Fusion Patients, Karen Roberts Burritt Jan 2003

Investigation Of The Role Of Self-Efficacy In Postoperative Outcomes In Spinal Fusion Patients, Karen Roberts Burritt

Masters Theses

A descriptive correlational design was utilized to explore the relationship between preoperative self-efficacy and the postoperative outcomes of distance ambulated, brace application, discharge disposition and length of stay in surgical spinal fusion patients. Social cognitive theory and the concept of self-efficacy were used to provide the theoretical framework. A novel self-efficacy questionnaire was developed to measure the independent variable, it was tested for reliability and validity in a 16 patient pilot study. The pilot study was followed by a study of 52 post-operative patients. Preoperative self-efficacy significantly correlated to distance ambulated in the entire sample. Females in this sample demonstrated …


Adolescents With Epilepsy: The Relationship Between Perceptions Of Parenting, Self-Concept, And Self-Assessment Scores Of Depression, Alison Z. D. Hofheinz Jan 2003

Adolescents With Epilepsy: The Relationship Between Perceptions Of Parenting, Self-Concept, And Self-Assessment Scores Of Depression, Alison Z. D. Hofheinz

Masters Theses

Adolescents with chronic diseases must accomplish the management of their healthcare decisions and practices; those with epilepsy also deal with the uncertainty of seizure disorders and the stigma linked to this disease. This secondary analysis of data examined psychosocial variables for adolescents with epilepsy within the developmental-contextual framework proposed by Hohnbeck and Shapera (1999). No statistically significant differences were found between the mean Piers-Harris scores, self-assessment scores on the Children's Depression Inventory (CDI) or the Revised Family APGAR for the subgroups of males, females, younger (9 to 11.44 years) or older (11.45 to 14 years) adolescents. Perceptions of parenting, length …