Medicine and Health Sciences Commons^™

Adolescent Knowledge About The Relationship Between Exercise And Prevention Of Osteoporosis, Alice M. Padilla

Masters Theses

The purpose of this study was to assess the intact of an educational intervention on adolescent knowledge concerning exercise as an osteoporosis preventive behavior. This study examined whether there was a knowledge gain in each group (girls and boys) after receiving the education intervention and it investigated the difference in knowledge gain between groups.

This was a secondary analysis of data from a study that used a pre-experimental pretest-post-test, no control group design. There were 82 boys and 102 girls who completed the Healthy Bones Knowledge Questionnaire as a pre-test, received an education intervention based primarily on nutrition, then completed …

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 …

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 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 …

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.

Advisors' Knowledge Of Requirements For Admission To The Physical Therapy Program At Grand Valley State University, Laura Irrer, Elizabeth Knight, Joel Vander Wall

Masters Theses

The purpose of the study was to identify the accuracy and extent of knowledge among G.V.S.U. academic advisors and the sources used to obtain information regarding the physical therapy (P.T.) admission process. Surveys were distributed to 45 advisors of pre-P.T. students. Nineteen surveys were returned and six respondents were chosen for an interview. Interpretations of the data were made using a qualitative coding system.

The authors found the advisors were inaccurate in their knowledge of the weighting of G.P.A . and interview and the role that physical appearance and leadership plays in the admission process. Advisors were accurate in the …

The Effects Of Prosthesis Use Versus Non-Use On Forward Reach Distance In Children Ages 5 To 15 With Unilateral Upper Extremity Amputation As Measured By The Functional Reach Test, Mary E. Weber, Scot G. Smith

Masters Theses

The purpose of this study was to investigate the possible differences in maximal forward reaching distance in children with unilateral upper extremity amputations while wearing and not wearing a prosthesis using the Functional Reach (FR) test. Trends were noted between FR scores of these children and children without disabilities.

Four children, ages 5-8, completed the FR test using the intact arm under two conditions, “prosthesis-off” and “prosthesis-on”. A paired, two-tailed t test (a = .05) was used to determine the statistical significance of the means of differences in FR scores between the two conditions.

No statistically significant difference was found …

What Are Female University Students' Perceptions Of Their Healthcare Needs?, Kathleen K. Loose

Masters Theses

The purpose of this study was to gain a greater awareness of the self-perceived healthcare needs of female university students. An anonymous questionnaire was sent to a random sampling of the total female enrollment at a midwest university. A Healthcare Concern Score was tabulated on 230 completed questionnaires. There were 21 items identified as concerns. Students in the 17-24 year old age bracket had a higher healthcare concern score than individuals in the 24-53 year old age bracket. Orem’s Self-care Deficit Theory (1991) was the conceptual framework for this study. The majority of identified concerns fell within the category of …

Acute Care Nursing: Are Perceived Work Stressors Different For Nurses Working In Critical Care And Non-Critical?, Mary Jane Rolf

Masters Theses

The purpose of this study was to examine, using King’s Conceptual Framework, “stressful” nursing situations that might affect critical care (CC) and non-critical care (NCC) nurses in an acute health care setting. Similarities that existed between the two groups were evaluated using responses to Gray-Toft and Anderson s Nursing Stress Scale (NSS).

The sample of 131 included registered nurses and licensed practical nurses at a 300-bed acute care tertiary hospital in Northern Michigan representing two critical care areas and three non-critical care areas. The NSS, letter of explanation and waiver, and return envelope were sent to participants’ homes. Data indicate …

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 Life Experiences Of Male Occupational Therapists As It Relates To Career Choice: A Qualitative Study, Jason R. Bomia

Masters Theses

This study examined the life experiences of male occupational therapists and how various life experiences influenced their choice of career. Research in occupational therapy has not addressed this topic, focusing instead on external influences, such as salary, advancement and prestige on career choice for male therapists. In order to study more intrinsic influences of male occupational therapists, this study interviewed male therapists using semi-structured interviews and hermeneutic data collection and analysis techniques. The results indicate a dynamic relationship between personal history, selfexpression and professional issues that contribute to how meaningful occupational therapy is to the males in this study. This …

Maternal Identity In Previously Infertile And Never Infertile Women, Christal L. Saffee

Masters Theses

M the United States approximately one in five couples are infertile. Infertility can be a major life crisis to the affected individuals. This study compared the difference in maternal identity in previously infertile women as compared to never infertile women during the postpartum period. The conceptual framework used in this study was symbolic interactionist theory. Maternal identity was measured by Myself as Mother (Walker, 1977) scale in both groups of women. Demographic information was collected on each participant in the study. Previously infertile women's maternal identity scores were significantly lower than those scores of fertile women (t=-8.63 df=51 p=.00). This …

Perceived Job Satisfaction Of Nurses Working With Unlicensed Personnel Versus Nurses Working With Licensed Personnel, Wendy J. Koopman

Masters Theses

The purpose of this study was to examine the perceived job satisfaction of nurses who worked primarily with unlicensed assistive personnel (UAP) compared to the job satisfaction of nurses working primarily with licensed personnel. A descriptive comparative study was employed using a random sample of 250 nurses registered in the state of Michigan. Data were collected using a survey methodology. One hundred three nurses responded. Data analysis included a comparison of job satisfaction of participants with the amount of time spent working with unlicensed personnel. The area of practice and level of education of the participants were also compared among …

Perceived Concerns Surrounding The Utilization Of Physical Therapy Aides In Michigan, Jill Bydalek, Greta Swasey-Hadlock

Masters Theses

Utilization of support personnel to perform physical therapy treatments has been a controversial topic in the physical therapy profession for many years. As Managed Care and other health care changes emerged, physical therapists have been pressured to cut costs while maintaining productivity. The use of non-licensed personnel became common place to meet these demands. The purpose of this study was to investigate five research questions. First, to what extent do physical therapists delegate patient treatment and utilize physical therapy aides in Michigan? Secondly, does aide utilization differ based on: the ways in which aides are identified to patients, various settings …

A Study Of Licensed Physical Therapists' Knowledge Regarding Current Legislative Issues, Jennifer Moine, Alexis Snyder, Susannah Steele

Masters Theses

The purpose of this study was to determine the amount of knowledge licensed physical therapists have regarding certain legislation at the state and federal levels. Potential relationships between degree of knowledge and therapist characteristics such as age, number of years in practice, and professional membership were also examined. A survey instrument was mailed to a random sample of licensed physical therapists in the state of Michigan.

Results indicated that licensed physical therapists who were members of a committee within the APTA, or held office in the organization had significantly more knowledge than physical therapists who did not (alpha=0.05). Being a …

Examination Of The Reliability And Validity Of Rancho Los Amigos Observational Gait Analysis, Heather Groth, Sarah Novak

Masters Theses

The Rancho Los Amigos Observational Gait Analysis system (Rancho OGA) is a standardized approach utilized to assess gait impairment for various diagnoses. Physical therapists, orthotists, and physicians utilize Rancho OGA for clinical decision making and recommending treatment interventions for gait disability. This study examined the reliability and concurrent validity of Rancho OGA from gait files obtained from the GVSU/Mary Free Bed Center for Human Kinetic Studies. Comparisons were made between computerized 3-D gait analysis and Rancho OGA data from videotaped records of cerebral palsy gait to determine the level of agreement utilizing the Kappa statistic and percent agreement. Results indicated …

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 …

Paraplegic Functional Ambulation With Long Leg Braces And Upper Extremity Support: Predicting Long Term Usage Patterns Utilizing The Functional Independence Measure, Karin Copenhaver, Matthew Sherman

Masters Theses

Individuals with a spinal cord injury (SCI) are frequently taught to ambulate with long leg braces and upper extremity support during their post-acute rehabilitation. In many cases this training fails to carry over once these individuals return to their homes after their rehabilitation course has ended. Subsequently, these individuals rely on their wheelchair as their primary mode of ambulation. Is ambulation training an expropriate intervention for patients in these cases? The purpose of this study was to investigate whether utilization of the Functional Independence Measure (FIM) may serve as a predictor of long term functional ambulation with long leg braces …

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

Research Based Practice Among Members Of The Michigan Physical Therapy Association, Sarah M. Bennett, James D. Courter, Rachel E. Hastings

Masters Theses

The purpose of this study was to investigate the extent to which research based practice (RBP) is employed by Michigan Physical Therapy Association Members by assessing attitudes toward research, level of research involvement/scholarly pursuit, and reasons for using or not using treatment interventions.

Three hundred and thirty questionnaires were distributed by mail to a random sample of Michigan Physical Therapy Association Members. A total of 133 questionnaires were used for analysis. Descriptive frequencies were calculated for each section of the questionnaire. Chi-square and Fischer's Exact tests were used to examine significant relationships.

Respondents in the present study overwhelmingly supported (~90%) …

The Effect Of An Osteoporosis Prevention Program On Knowledge And Self-Efficacy, Kathryn Hayter

Masters Theses

The purpose of this study was to examine the effects of an Osteoporosis Prevention Program on knowledge and self-efficacy for exercise and calcium intake. Bandura’s Self-Efficacy Model was used which describes efficacy expectations and outcome expectations as predictors of behavior.

A quasi-experimental design with pre-test and post-test was used with 32 women, age 40-62, at an urban outpatient center. The experimental group attended an Osteoporosis Prevention Program.

There were significant post-test differences between groups for osteoporosis knowledge and osteoporosis self-efficacy for calcium intake but not for osteoporosis self-efficacy for exercise. Additionally, paired t-tests found a significant improvement in scores pretest …

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 …

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 …

Quality Of Life In The Hospice Patient, Sidney S. Brush

Masters Theses

The purpose of this study was to determine if terminally ill patients experience a change in perceived quality of life between admission to a hospice program and after having been in the hospice program for three weeks.

A repeated measures design with a convenience sample was used The sample consisted of 56 subjects who completed the Missoula-Vitas Quality of Life Index (MVQOLI). Twenty completed the second MVQOLL Data were obtained from the scores of this self-assessment tool. Data analysis included a comparison of the relationship of the first and repeated scores. No significant differences were found between the MVQOLI scores …

The Effect Of Social Support On The Psychological Adaptation Of An Individual Receiving An Alternate Form Of Nutrition Therapy, Kristin J. Ladd

Masters Theses

The purpose of this study was to examine the effect of social support on an individual's psychological adaptation to an alternate form of nutrition support. Betty Neuman's Systems Model provided the framework for this study. A descriptive correlational design was chosen for this study and data were collected using a questionnaire methodology. Proposed data analyses measures were Pearson's product moment correlation, t- Test, and Mann-Whitney U. The targeted sample size for this study was 20 patients with cancer or gastrointestinal disorders, however, termination of the study occurred when only four individuals were recruited after five months of data collection. This …

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 …

Parental Grief Responses To Perinatal Loss, Lisa M. Peacock

Masters Theses

An exploratory, descriptive design was used to examine parental grief and coping responses to perinatal loss. Florence Selder's Life Transition Theory (1989) was used as the conceptual fiamework. A survey approach was used for data collection. This included basic demographic questions, the Perinatal Bereavement Scale and the Jalowiec Coping Scale. A convenience sample was obtained, consisting of 24 women and 6 men in northern Michigan communities who had experienced a perinatal loss at some time in the past. Data were collected by an anonymous mailed survey. The results of the study revealed that all parents in this sample did exhibit …

The Effects Of Reminiscence Therapy On The Elderly Client's Satisfaction With Nursing Care, Nancy Strong

Masters Theses

This study tested if reminiscence therapy would improve client satisfaction with nursing care. An experimental post test only design was used on 39 clients in a moderate sized home care agency in the Midwest. Ages ranged from 65 to 98. A single, one-on-one reminiscence session was done with 22 subjects in their homes after a routine nursing visit. The control group subjects did not receive the reminiscence intervention. The groups were homogeneous except for the number of hospitalizations experienced in the past year. The control group had a significantly higher number.

The Forbes Patient Satisfaction Questionnaire, modified for the home …

The Relationship Of Hardiness And Perceived Social Support To Nurses' Appraisals Of Stress, Susan A. Groesser

Masters Theses

Lazarus' Stress and Coping Theory was used to examine the relationship between hardiness, social support, and nurses’ appraisal of stress as a threat or challenge. This descriptive correlational design used a convenience sample of 40 registered nurses on orientation at a large West Michigan hospital.

Hardiness and social support were dichotomized by splitting them at the median. The proportion of the sample viewing orientation as a challenge versus threat was not significantly different regardless of their hardiness or social support status. The results were limited by lack of variation in stress appraisal (77% challenge) and hardiness levels, sample size, and …

The Effect Of Familiar And Novel Testing Environments On The Gross Motor Function Measure Scores Of Developmentally Normal Children 17-37 Months Old, Tracey Blain, Jean Angel

Masters Theses

Our purpose in this research was to compare the reliability of the Gross Motor Function Measure in familiar and unfamiliar environments. Discrepancy between clinical assessment results and true motor functional ability may give false information leading to inefficient treatment sessions. Our research gives therapists information about optimal assessment site choice. Subjects included sixteen developmentally normal children between the ages of 17 and 37 months. Our study fit a repeated measure counterbalanced design, and ANOVA was used to analyze our data. We did not reject our null hypothesis that the child’s score on the GMFM in the familiar environment would equal …