Medicine and Health Sciences Commons^™

Narratives Of Adolescent Students: The Integration Of Health And Learning Through Application Of Nursing Theory, Marjean Huber

Dissertations

Problem. There are few resources to show educators how to help students improve learning by improving health and mental well-being. There is a lack of integration in the literature in terms of how practitioners can reach these students in order to help them learn effectively and develop into successful, productive adults with meaningful lives. This study has three major sections. First, I examine my experiences within education to determine what values, truths, and principles mold my practice. Second, I identify my teaching practice in relationship to nursing theory integrating it with learning theory, thus highlighting the relationship between the health …

Demographic Characteristics And Academic Measures As Predictors Of Success On The American Society For Clinical Pathology (Ascp) Medical Technologist Certification Examination, Marcia Ann Kilsby

Dissertations

Purpose. This study was undertaken to address the utility of demographic characteristics and academic measures as predictors of success for the American Society for Clinical Pathology Board of Registry Medical Technologist Certification Examination (Certification Examination) Total Score and six Subscores and to find predictive models with relevance to an ethnically and racially-diverse student population.

Method. The research population was the graduates of the Andrews University Program for Clinical Laboratory Sciences. The 233 subjects were from 53 different birth countries. The relationships between Certification Examination scores and both demographic characteristics and academic measures were analyzed by chi square, analysis o f …

Intuitive Decision Making And Leadership Style Among Healthcare Executives In The United States, Cherie Whiting

Dissertations

The purpose of this two-phased, sequential, exploratory, mixed-methods study was to survey a sample of Fellows in the American College of Healthcare Executives in the United States and then interview selected individuals who scored in the highly intuitive category on the intuition survey to explore how they made intuitive decisions. In the first phase, quantitative research questions addressed the relationship between leadership style and the potential to make intuitive decisions, as well as the relationship and interaction between the potential to make intuitive decisions and age, gender, and size of company. In the second phase, qualitative interviews were used to …

Seeking Life Balance: The Perceptions Of Health Of Cambodian Women In Resettlement, Olivia Catolico Phd, Msn

Dissertations

This grounded theory study was an inquiry into the perceptions of health of Cambodian women in resettlement and the conditions that influenced their perceptions. Few studies of Cambodian women who escaped political conflict exist. Cambodian women were among the waves of Southeast Asian refugees who have resettled in the United States. The sequelae of significant life trauma upon the health of Cambodian women in resettlement have received little attention in the nursing literature. There is less information about their perceptions of health in resettlement as their beliefs about health and illness causation contrast with those of Western health care providers. …

Perceptions Of Physical Therapy Faculty On The Inclusion Of Spirituality In Physical Therapy Education, Janice C. Pitts

Dissertations

Problem

The physical therapy profession currently does not require the integration of spirituality in patient care in the physical therapy curriculum, and it is unclear how physical therapy faculty and practitioners view its inclusion. There is limited research literature on the integration of spirituality in the field of physical therapy or within its academic environment.

Method

The study utilized standard survey research methodology to gather data relating to spirituality and its inclusion in a physical therapy curriculum. Five participants from each of 101 sampled programs received a survey instrument along with instructions and consent form disseminated through electronic mailing. Data …

Spiritual Well-Being And Quality Of Life As Correlates Of Job Stress Among Academic Chairpersons In Selected Seventh-Day Adventist Tertiary Institutions, Russell Mark Aldridge

Dissertations

Problem . Stress, like pain, begins at birth and remains common to the human condition throughout life, and it is a factor in the experience of every human being who ever lived. It is not merely universal but it is also endemic and omnipresent. Chairpersons, due to the bi-directional demands of administration and students are in a stressful environment. This study was undertaken to identify whether quality of life and spiritual well-being play an important role in occupational stress levels in chairpersons of Seventh-day Adventist Tertiary Institutions.

Method. Three questionnaires were used to get responses from 137 chairpersons in …

The Efficacy Of A School-Based Support Group On Adolescent Self-Esteem And Social Support, Julia Ann Smith Phd

Dissertations

Adolescents are faced with daily obstacles that affect their ability to progress into adulthood successfully. Rising divorce rates and subsequent single parenting, adolescent pregnancy, drug and alcohol abuse, violence, and lack of parental involvement represent only a few of the many issues teens confront. School nurses are on the front lines, attempting to educate youth against an alarming rise in personal and social controversies that impede their ability to come to school ready to learn. As part of the educational team, school nurses are in a prime position to develop and integrate intervention strategies aimed at assisting adolescents during this …

Examining The Meaning And Experience Of Self-Determination And Its Impact On Quality Of Life For Individuals With Cognitive Disabilities, Carol Marie Sundberg

Dissertations

There is a national agenda for advancing self-determination for persons with disabilities. Broadly defined, self-determination means having control over ones own life. The purpose of this research was to gain a better understanding of self-determination and its effect on the quality of life of persons with cognitive disabilities. A qualitative, phenomenological approach was selected. Ten individuals from a community mental health system in southwest Michigan participated in the study. Participants had a developmental disability and were dependent on others for their care. The research combined qualitative interviews with behavioral observations and proxy interviewing, and included the audiotaping of those interviews. …

Factors Affecting School-Based Speech-Language Pathologists’ Use Of Language Assessment Practices With Bilingual Children, Lena Gloria Caesar

Dissertations

The purpose of this study was to identify the assessment procedures and practices of school-based speech-language pathologists (SLPs) employed in the state of Michigan. A survey method was used to gather information from 409 SLPs regarding the assessment procedures used for assessing both their bilingual students, as well as their monolingual English-speaking students. The survey also gathered information regarding perceptions about language proficiency, professional training, and bilingual assessment products. In order to analyze factors related to their use of recommended practices, the study investigated the relationship between selected demographic, caseload, and work-setting variables, and the type of bilingual assessment methods …

Factors Influencing Middle-Aged And Older Latin American Women's Participation In Physical Activity, Stephanie Vaughn Phd

Dissertations

Ethnographic methodology was used to explore the factors that influence middle-aged and older Latin American women's participation in physical activity. Semi-structured interviews and field observations were used to elicit information from the twenty five Latin American women in this study sample. Perceptions of health, the health activities in which the women engage, and the factors that influenced their participation in physical activity comprised the three categories of responses. Facilitators and barriers were identified as the two primary groups and were further sorted into intrinsic or extrinsic factors. A sense of self, decreased feelings of stress, wellbeing, managing chronic disease, the …

Functioning Among Taiwanese Families With A Child Having Duchenne Muscular Dystrophy, Jih-Yuan Chen Phd, Msn, Rn

Dissertations

A cross-sectional study was designed to determine the factors with functioning among Taiwanese families with a child having Duchenne Muscular Dystrophy (DMD). This research investigated the level of a child's mobility upon family hardiness, functioning, and support from a family perspective. A total sample of 126 of participants was parents of children with DMD. Parents completed basic demographic information, the Family Assessment Device, Family Hardiness Index, Duke Health Profile, and Family APGAR. Pearson Correlation Coefficient test was performed to examine relationships between independent and dependent variables. To determine if the levels of child's mobility, family characteristics, family hardiness, family health, …

Keeping Safe: Field Public Health Nurses' Perceptions, Karen Nielsen-Menicucci Phd, Ms, Rn, Phn

Dissertations

By the year 2005, there will be an estimated 1.25 million workers involved in providing nursing care to individuals in their homes (Bureau of Labor Statistics, 1997). There is limited empirical data available on the issue of safety of nurses within the context of home visiting or in the public health venue. Recent research on safety in home visiting has focused on home health rather than public health nursing. The purpose of this study was to explore and explain the perception of safety among field public health nurses. A purposive sample of 19 public health nurses employed in an official …

The Effect Of A Nurse Practitioner Intervention On Women Referred For Screening Mammography, Susan Renee Carlson Phd

Dissertations

The use of mammography for the early identification of breast cancer when tumors are small and potentially curable has been well documented. Unfortunately, the rates at which women comply with their health care providers' recommendation for screening mammography remain low. Many reasons have been identified for the failure to adhere with this recommendation; pain with procedure, cost, lack of physician recommendation, perceived radiation exposure, and fear of results have been cited. The purpose of this study was to identify the effect of a specific intervention by a nurse practitioner on adherence with screening mammography in a healthy population of women …

Postpartum Fatigue In The Active Duty Military Woman, Jacqueline D. Rychnovsky Phd

Dissertations

Up to 16,000 military women annually experience the birth of a child. Barring complications, regulations require a return to work 42 days postpartum, making them susceptible to the effects of postpartum fatigue. The purpose of this descriptive, longitudinal study of 109 military women was to describe fatigue levels across the first 6–8 weeks postpartum; to describe the relationship among selected psychological, physiological, and situational variables of fatigue; and to examine the relationship between predictor variables, fatigue levels, and performance after childbirth. The majority of the sample were married or partnered enlisted women in the U.S. Navy with a mean age …

Validating The Substance Abuse Subtle Screening Inventory For Identifying Substance Abuse Among Adolescents In A Residential Treatment Center, Ann Carol Singler

Dissertations

Purpose. This study examines the construct validity of the Substance Abuse Subtle Screening Inventory for Adolescents (SASSI-A) as a substance-abuse screening instrument for dual-diagnosed adolescents in a residential treatment center.

Method. Using archival records of 336 subjects from a long-term residential treatment center, this study applied a two-group comparison method to examine the construct validity of the SASSI-A for screening substance abuse among adolescents in a residential treatment center. Residents were initially clinically assessed by a state certified counselor as either substance abuser/chemically dependent or non-substance abuser/chemically dependent. At this residential treatment center, the clinical assessment included a full review …

Nursing Students' Experiences In Personal Spiritual Formation And In Provision Of Spiritual Care To Patients, Beverly Jane Cobb

Dissertations

Problem. Nursing professionals acknowledge that (a) spiritual care is part of holistic care, and (b) nursing education about spiritual care of patients is inadequate. Evidence points to the importance of personal faith and spirituality in order for the nurse to more effectively render spiritual care to patients. Enhancing knowledge about how nursing students learn spiritual care can benefit nursing education and, ultimately, patient care. This study explored how students with high faith maturity provided spiritual nursing care to patients.

Method. This study engaged phenomenological methods with a study population selected from two faith-based educational institutions. A total of 187 nursing …

An Evaluation Of Methylphenidate Preference In Adults Diagnosed With Attention-Deficit/Hyperactivity Disorder, Emily Kathleen Macdonald

Dissertations

Methylphenidate (MPH) is widely used in the treatment of ADHD, and is associated with positive effects across a wide range of domains. In spite of the clinical effectiveness of MPH, concern has arisen with respect to its abuse potential. The present study examined the reinforcing effects and participant-rated effects of MPH in adults diagnosed with ADHD. Participants included 10 volunteers (ages 18-22) diagnosed with ADHD who were receiving MPH treatment. The reinforcing effects were assessed using a double-blind choice procedure with 4 sampling and 8 choice sessions. During sampling sessions, participants completed a self-report questionnaire before receiving either placebo or …

Managing Stigma In Planned Lesbian-Parent Families, Natalie Cheffer Phd, Mn, Cpnp

Dissertations

The gay-and lesbian-parent family is a family form becoming more prevalent in today's diverse society. Now, with advances in reproductive technology and a growing acceptance of homosexuality, gay men and lesbians are having, adopting, and raising children in record numbers. The purpose of this study was to identify how parents and children in planned lesbian-parent families live in a homophobic society where they face social prejudice on a daily basis. Data were obtained from interviews with 12 planned lesbian-parent families. Data analysis included interviews with the parents as well as analysis of 48 of the children's drawings and the stories …

The Lived Experience Of Latina Women Giving Birth In The United States, Ana-Maria Gallo Phd

Dissertations

As the Latino community continues to grow in the United States, it is essential that cultural considerations be addressed, particularly in health care. Cultural assessment is of the utmost importance when trying to understand the phenomena of childbirth. Childbirth is one of the most significant events in a woman's life. It is complicated when giving birth in a country other than one's own. Therefore, it is crucial to comprehend and appreciate how culture influences the birth experience. Nurses play an essential role in assisting women of diverse cultures to fulfill their expectations regarding traditions, beliefs, and practices regarding childbirth. The …

Exercise Level And Age As Related To Self-Perceived Physical Health, Mental Health, And Social Health In Older Adults, Barbara Jean Leach Phd, Msn, Rn

Dissertations

The purpose of this study was to examine the relationship between the level of exercise and age and self-perception of physical, mental and social health in older adults. Voluntary quota sampling was used to recruit 224 older adults aged 55 and up. The Physical Activity Questionnaire for the Elderly (Voorrips, Ravelli, Dongelmans, Deurenberg, & Van Staveren, 1990) was used to determine the current level of exercise of the older adult. Age was measured using the Demographic Questionnaire by Leach (1999) and self-perception of physical health and mental health was measured using the SF-36 Health Survey by Ware (1993). The Texas …

Development And Psychometric Evaluation Of The Wikoff Spiritual Focus Questionnaire, Karen Luther Wikoff Phd

Dissertations

Spirituality is a concept that has been a part of nursing since nursing began. In every culture spirituality is a component of healing. However, in the United States, nurses seldom assess the concept of spirituality and the patient's spiritual needs are often not addressed. Wikoff Spiritual Focus Questionnaire was designed to help nurses assess and meet the patient's spiritual needs. A review of literature revealed that spirituality was comprised of a relationship between a Higher Power, Self, Others, and Nature which resulted in a sense of being, knowing and life purpose. A fifth dimension of Religion was identified through a …

An Interpretive Exploration Of The Meaning Of Being With Women During Birth For Midwives, Lauren P. Hunter Phd

Dissertations

This study explored the meaning of the phenomenon of the midwife's experience of being present with a woman during childbirth. The value and importance of being with a woman during childbirth, specific and unique to midwifery care, is reflected in midwifery philosophies and models of care. This study looked through the lens of midwives who have written poetry about births they have attended to learn more about the experience of being with a woman. Hermeneutical phenomenology was selected for the philosophical methodology and method because it looked at both the phenomenon and the use of language to describe the phenomenon. …

Justifying Coercion: Nurses' Experiences Medicating Involuntary Psychiatric Patients, Paula K. Vuckovich Phd, Rn

Dissertations

This grounded theory study delineates the process inpatient psychiatric nurses use to respond to the challenging nursing problem of medicating resistant involuntary patients. Since approximately one third of all admissions to psychiatric units in the United States are involuntary (Durham, 1996), caring for involuntary patients is a significant part of psychiatric nursing. Medication administration is a major treatment modality that is expected in caring effectively for psychiatric patients (American Psychiatric Association (APA), 1994; APA, 1997; Patel & Hardy, 2001). The process of getting the involuntary patient to accept medication is a major nursing function in a psychiatric unit that treats …

The Effect Of Professionally-Facilitated Group Support On Psychological Well-Being Among Clients With Cancer, Joann C. Harper Phd, Ms, Rn

Dissertations

Many persons suffer from cancer, some of whom seek psychological relief through group support. Despite the widely held belief that group support helps, its efficacy has not been consistently evident in the scientific literature. The purpose of this study was to compare the effect of professionally-facilitated group support on the psychological well-being of clients with cancer between persons who participated in professionally-facilitated group support with those who did not. A comparison design measured effect by the Psychological General Well-Being (PGWB) index. Each study enrollee was diagnosed with a new or recurrent cancer within 18 months of study entry. ANCOVA was …

The Effects Of Cooperative Learning Versus Traditional Classroom Instruction On Cognitive Achievement, Critical Thinking, And Attitudes Toward Learning In Teams In A Physician Assistant Program, Scott L. Massey

Dissertations

Problem. Physician assistants are required to possess critical thinking skills and excellent intellectual skills to achieve the level of autonomy expected by supervising physicians. No scientific research has been identified to determine the most effective means of educating the physician assistant students. The purpose of the research study was to determine whether a statistical difference exists between students educated in a cooperative learning environment versus a traditional lecture environment. The dependent variable utilized in this study included critical thinking skills, cognitive achievement, and attitudes towards learning in teams. Using an experimental research design, students were educated in a cooperative learning …

Perceptions Of Nursing Academic Administrators And Faculty Related To The Pursuit Of Upper-Level Administrative Careers, Lavonne M. Adams

Dissertations

Problem. To address the shortage of qualified candidates interested in academic administration, this study explored factors related to recruitment of nursing academic administrators, including leadership practices of current administrators, career aspirations of potential administrators, and perceptions of both groups toward a career in academic administration.

Method. Nursing academic administrators and full-time faculty from randomly selected National League for Nursing Accreditation Commission (NLNAC)-accredited nursing programs in private colleges or universities in the United States participated in the study. Administrators completed the Leadership Practices Inventory-Self (LPI-Self) and an investigator-designed Recruitment Questionnaire. Faculty completed the Leadership Practices Inventory-Observer (LPI-Observer) and an investigator-designed Career …

Getting Back: Successful Rehabilitation After A Hip Fracture, Carole Florek Hair Phd, Ms, Rn

Dissertations

Fracturing a hip is a devastating experience for the older adult, and mortality and morbidity following a hip fracture are high among this vulnerable population. Mortality rates from 12 to 37 percent have been reported within one year after a hip fracture. It is estimated that 50 percent of individuals who experience hip fractures become partially dependent in activities of daily living, and 33 percent become totally dependent in activities of daily living. Reducing morbidity by improving rehabilitation outcomes is an important healthcare goal for older adults. Motivating participation in rehabilitation activities poses a challenge for professional caregivers. The purpose …

The Development And Psychometric Testing Of An Instrument Measuring The Use Of Intuition By Nursing Students, Anita Joel Smith Phd, Mn, Rn

Dissertations

Measurement of intuition use among nursing students has not occurred because developed intuition measures have been designed specifically for experienced nurses. The purpose of this study was to develop and psychometrically evaluate an intuition instrument for nursing students. An intuition instrument can provide the means to (a) determine if students use intuition in care providing activities and (b) measure intuition use over time. Instrument development included (a) concept clarification, (b) item development, and (c) psychometric testing. Intuition was defined as a nonlinear process of knowing perceived through physical awareness, emotional awareness, and/or through physical or spiritual connections. Content experts established …

Co-Occurring Disorders And Selective Substance Use In Females Ages 10 To 25 Diagnosed With Attention Deficit Hyperactivity Disorder, Nancy A. Clinton

Dissertations

The paucity o f research on females diagnosed with attention deficit hyperactivity disorder (ADHD) precipitated this exploratory investigation into co-occurring disorders and selective substance use in females (n = 70), ranging in age between 10 and 25, diagnosed with ADHD and substance use disorder (SUD). Data extracted from archived substance abuse treatment center records were tested via chi-square analyses to determine proportional differences between frequencies in predetermined co-occurring disorder groups (disruptive behavior disorders, moodanxiety disorders, and learning disorders) and predetermined substance groups (stimulant, depressant, and cannabis) for the total ADHD cohort and for specific diagnoses (inattentive, hyperactive-impulsive, combined, and with …

Roles And Regulation Of Nf-Κb In Platelet-Derived Growth Factor Transformed Cells, Takeshi Shimamura

Dissertations

Platelet-derived growth factor (PDGF) is overexpressed in various cancer cells and the overexpression may be correlated with the prognosis of several types of cancers. Binding of PDGF to its receptors induces receptor dimerization and subsequent autophosphorylation of tyrosine residues in the receptor’s cytoplasmic domains. The phosphorylated tyrosine residues interact with the secondary signaling molecules to initiate signaling cascades that trigger cellular changes by affecting downstream effectors. In our recent publication, we have shown that a NF-κB mediates the transformation of mouse fibroblast cells overexpressing PDGF B chain. Though there is a significant correlation between PDGF stimulation and NF-κB activity, it …