Medicine and Health Sciences Commons^™

Specifying The Psychomotor Domain Of The Construct Of Nursing Competence, Joni L. Jones

Dissertations

The measurement of an individual's predicted performance in his/her field is a requirement of many professions. The NCLEX-RN® is the measurement tool used to determine whether or not new graduates of registered nursing programs are competent to enter the profession. Although there are three domains of learning in nursing (cognitive, affective, and psychomotor) the only domain tested for licensure is the cognitive. Many factors contribute to the lack of testing in the psychomotor area. One of the major impediments is that the entry-level psychomotor domain for registered nursing has yet to be defined. The purpose of this study was to …

Substance Abuse Treatment: Substance Abuse Counselors' Belief Systems And How These Beliefs Impact Treatment, Ann Crabb

Dissertations

The treatment of substance abuse is an anomaly within the mental health field. Historically, the treatment of addicted people has relied more on the personal experiences of those who have recovered than empirical findings (Shaffer, 1987). The founding of Alcoholics Anonymous sparked the creation of a belief system regarding substance abuse and recovery that, despite contradictory research findings, remains strong today (McElrath, 1997). This study was conducted to explore the belief systems of both recovering and nonrecovering substance abuse counselors today to determine what their beliefs are, how these beliefs were formed, and whether their belief system has changed over …

The Impact Of Systematically Varying The Duration Of Breath Samples During Infrared-Based Alcohol Breath Testing, Chris C. Clatterbuck

Dissertations

The present study set out to investigate the reliability and performance of the BAC DataMaster®, an infrared-based alcohol breath testing instrument. The focus of this study was to determine: (a) the impact of varying breath sample duration during testing, (b) if Blood Alcohol Concentration (BAC) levels produced by the DataMaster® (BAC_DM) are significantly different from BAC levels produced by analysis of whole blood (BAC_WB), and (c) if the relationship between BAC_DM estimates and BAC_WB is influenced by the amount of alcohol an examinee has ingested. Each of 27 participants was randomly assigned to one …

Prenatal Maternal Attachment: The Lived Experience, Regina Ann Leva-Giroux Dnsc

Dissertations

Prenatal maternal attachment and the practice of health promoting behaviors during pregnancy are considered universal phenomena to women. Yet, the understanding of these phenomena from the lived experiences of pregnant women has not been well researched. The purpose of this phenomenological study was to describe the experience of maternal attachment to the unborn child and how that attachment might relate to the practice of these behaviors during pregnancy. The participants in this study were ten English speaking women, college educated, professionally employed, who were pregnant for the first time. Unstructured interviews were conducted with the participants at 14–16 weeks and …

Protective Care: Mothering A Child Dependent On Parenteral Nutrition, Lorie H. Judson Phd, Mn, Rn

Dissertations

Home care of technology-dependent infants and children has become an accepted and expected consequence of higher survival rates among critically ill newborns and children who develop chronic illnesses. One of the high-tech modalities which foster dependence of these infants and children is parenteral nutrition. Parenteral nutrition, also called total parenteral nutrition (TPN), supplies life-sustaining nutrients through a central venous catheter and requires the use of machinery to pump this fluid directly into the bloodstream. Due to the tremendous cost of prolonged hospitalization for these children, and the deleterious effects to the child, home care is considered an obvious and viable …

Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn

Dissertations

Aged widowers are at risk for increased incidence of health problems and higher mortality rates following the death of a spouse. Mens' abilities for dealing with loss have been questioned, but little research has been done with this group. Surviving widowers provided significant insights illuminating the experience of resilience and providing relevant information regarding this population. Utilizing interpretive phenomenology, a methodology advocated by van Manen, in-depth interviews were conducted researching the lived experience of resilience among nineteen elderly widowers between 71 years and 100 years of age. Participants, identified by network sampling, lived independently and had survived the death of …

Role Perceptions Of School Nurses Who Work With Medically Fragile Students, Cay Chapman Casey Phd

Dissertations

In 1999, the Supreme Court ruled that school districts were financially responsible to provide related services including nursing services, to medically fragile students. This decision applied to children attending public schools who have complex health problems and are tracheostomy dependent. The purpose of this grounded theory study was to explore role perceptions of eighteen school nurses caring for these children in classrooms. Six dimensions emerged from the data: Promoting Family/Nurse Connections, Adapting the Environment, Claiming Authority, “Standing Out There”, Striking a Balance and Experiencing Success. Promoting Family/Nurse Connections emerged as the central perspective, essential to implementing a plan of care. …

Development Of The Postpartum Smoking Questionnaire (Ppsq), Cynthia J. Gantt Phd, Msn, C-Fnp, Rn

Dissertations

Cigarette smoking is the leading preventable cause of death in the United States. Smoking also accounts for significant morbidity for others exposed to environmental tobacco smoke. Many women stop smoking during pregnancy. Most women relapse to smoking following delivery, yet postpartum smoking issues have received little attention. The purpose of this study was to develop and test an instrument, the Postpartum Smoking Questionnaire (PPSQ) using Ajzen's Theory of Planned Behavior. The belief-based items of the PPSR-Q were developed following content analysis of 35 individual, structured elicitation study interviews with postpartum women in the military healthcare system. Beliefs that prevented women …

A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd

Dissertations

In the year 2000, there were approximately 35 million people in the United States who were 65 years of age or older, a ten-fold increase since 1900. The growth of this population has presented opportunities and challenges to American society. Health care needs, physical changes of aging, and the allocation of health care resources are several of the issues that need to be addressed (Federal Interagency Forum on Aging-Related Statistics, 2000). Quality of life measurement tools have been used to assess the health and social needs of aging people both in the United States and internationally since their conception in …

Predominant Nursing Students' Learning Profile And Nursing Faculty Teaching Styles As Related To Final Course Grade In A Baccalaureate Nursing Program In Puerto Rico, Lourdes Méndez Cruz

Dissertations

Problem. The purpose o f this study was to investigate the relationship between students’ predominant learning profile, faculty teaching preferences, and the final course grade in a 4-year nursing program at a private Christian university in Puerto Rico.

Method. A non-experimental descriptive research design was used for this study. The Learning Profile Indicator was administered to all nursing students («=138) while the Teaching Style Inventory was given to all faculty («=9). Demographic sheets were also given to both students and faculty Students’ final course grades were obtained from the faculty. Descriptive (frequency, means and standard deviations) and inferential statistics …

The Relationship Between Perspectives Ofspiritual Care And Organizational Climate In Seventh-Day Adventist Baccalaureate Nursing Programs In North America, Edelweiss Ramal

Dissertations

Problem

The purpose of this study was to explore the relationship between perspectives of spiritual care held by students and faculty in Seventh-day Adventist baccalaureate nursing programs and their perception of the school climate and compare these between faculty and students, Seventh-day Adventists and non-Seventh-day Adventists, and males and females.

Methodology

The University Version of the Kettering School Climate scale and the Role of Spiritual Care in Nursing Subscale answered by 49 faculty and 159 students of nine Seventh-day Adventist baccalaureate nursing programs provided the data. Pearson correlation, one-way analysis of variance, and t tests at a .05 level of …

Differences Between Undergraduate And Graduate Students In Self-Concept And Depression, Ann L. Woolley

Dissertations

Problem.

Students have an opportunity for personal growth as they learn about themselves and the world around them. However, their levels of self-concept and depression can influence how they view' themselves, their relationships, and their world. This research compared undergraduate and graduate students with respect to their levels of self-concept and depression.

Method

A quantitative research design was used for an ex post facto study of 239 students from Andrews University and Western Michigan University. They completed the Demographic Questionnaire, the Tennessee Self-Concept Scale: Second Edition (TSCS:2), and the Beck Depression Inventory-II (BDI-II).

Results

Using 13 as the B D …

A Descriptive Multiple Case Study Of Caucasian Female Suicide Attempters: Risk And Protective Factors, Janice Johnson Browne

Dissertations

Problem

Suicide is a problem globally and in the United States. Suicide rates for youth have remained particularly high. Caucasian men complete more suicidal acts than women, but women are more frequent suicide attempters. To gain information about the phenomenon of female suicide attempting, it is important to study the attempter. Awareness of risk and protective factors is necessary to intervene and prevent future incidences of suicide and suicide attempting.

Methodology

For this research a descriptive case study design was utilized. Three suicide attempters who had attempted suicide one or more times in the past was the sample population for …

Predicting Work Stress Burnout In Rural And Urban Emergency Medical Technicians Through The Use Of Early Recollections, Susan M. Vettor

Dissertations

Problem . Literature on work-stress burnout among emergency medical technicians (EMTs) suggests that they have maintained the same levels of burnout and attrition rates for the past 20 years. The purpose of this study was to investigate the relationship between early recollections and burnout in EMTs working in urban and rural locations.

Method . A demographic questionnaire, the Staff Burnout Scale for Health Professionals (SBS-HP), and two early recollections, were used to survey 120 emergency medical technicians in Toronto, Ontario and Mojave County, Arizona to assess their level of burnout and to identify various themes in early recollections.

Results . …

State Regulations Of Smoking In Public Places: Determinants And Implications On The Demand For Smoking And Consumers' Behavior, Ioana Raluca Mazare

Dissertations

No abstract provided.

Involvement Of Females As Authors, Editors, And Participants In Journals Concerned With Mental Retardation And Related Topics, Cari L. Porter

Dissertations

No abstract provided.

Refugee Experiences Of Trauma And Ptsd Effects On Psychological, Physical, And Financial Well-Being, Karen J. Cusack

Dissertations

No abstract provided.

Factors Related To Resilience Abilities And Self-Care Practices In Adolescents, Sandra L. Solem Phd, Msn, Rn

Dissertations

Identification of resilience factors in adolescents is necessary to promote health and decrease the incidence of negative health outcomes related to risk-behaviors in this age group. The purpose of this descriptive-correlational research was twofold: (1) to investigate the inter-relationships of perceived health status, perceived self-efficacy, resilience abilities, self-care agency and self-care practices in adolescents and (2) to evaluate a revised measure, The Solem Adolescent Resilience Abilities Scale (SARAS-R). Orem's self-care theory was used as the theoretical framework for this study. The convenience sample of 100 adolescents from San Diego county in southern California were recruited through health professionals and secondary …

Attitudes Toward And Usages Of Humor Among Practicing Marriage And Family Therapists, Nicholas Todd Wilkens

Dissertations

A descriptive study was conducted exploring attitudes toward and usages of humor among marriage and family therapists. This was an internet study, novel for both St. Mary's University and for marriage and family therapy research in general.

The literature review highlighted the research and theory that has evolved over the past century, addressing the topic of humor in mental and physical health and development. It was noticed that humor has not been a significant topic of study in marriage and family therapy research, nor have attitudes toward and usages of humor been measured among any of the health professions, though …

Analysis Of Factors Involved In Ratings Of Treatment Acceptability For Trichotillomania, Amy J. Elliott

Dissertations

Based on the literature, trichotillomania (or chronic hair pulling) appears to be responsive to behavioral interventions, with habit reversal as the most promising intervention. Habit reversal has been shown effective with children and adults of varying levels of severity, but some have questioned the generality and acceptability of the procedure. Little is known about the acceptability of interventions for habit disorders. These two research studies were designed to answer questions regarding the acceptability of behavioral and pharmacological interventions for trichotillomania and to expand the conceptual knowledge of treatment acceptability.

Study 1 compared the acceptability of four interventions targeting trichotillomania. The …

Quality Of Life Factors Among Recovering Alcoholics, George Edwin Compton Jr.

Dissertations

The inspiration for undertaking the current research came from the Student Investigator’s own experience of 19 years in recovery from alcoholism. During his early years in graduate school, the Student Investigator witnessed occasional misunderstandings among some academics and helping professionals regarding the nature of alcoholism, and, specifically, the tasks involved in sustaining enduring recovery from alcoholism. Thus, this dissertation research, which has sought to examine, through qualitative research methodology, the factors involved in achieving and sustaining quality of life in extended recovery from alcoholism was undertaken.

Several authors have noted the need for research which focuses on long-term recovery from …

Women's Experiences With Chronic Heart Failure, Denise M. Boren Phd, Msn, Cns

Dissertations

Nationwide, approximately 4.1 million Americans suffer from chronic heart failure accounting for estimated direct and indirect costs of over $21 billion spent annually for health care. The incidence of heart failure has doubled each decade since the 1940's and slightly more men were inflicted with the illness. This trend changed three years ago, with a decline in the overall incidence of heart failure and a slight predominance of the illness in women rather than men. The incidence of this condition was reduced in males nearly three times that of females. Women survive longer after diagnosis, however they are hospitalized more, …

Therapeutic Alliance: Development, Evaluation, And Application Of The Kim Alliance Scale, Son Chae Kim Phd, Msn, Fnp, Rn

Dissertations

The quality of therapeutic alliance between the patient and healthcare provider is a pivotal contributing factor toward optimal healthcare in the current context of rising healthcare costs, shorter hospital stays, and patient's rights. The availability of a well-designed and sound therapeutic alliance instrument can provide understanding and insight into improving the quality of healthcare. The purpose of this study was to develop a reliable and valid therapeutic alliance instrument, to evaluate its psychometric properties, and to explore its usefulness in predicting patient satisfaction. The retroductive triangulation method provided a framework for the development of the instrument, the Kim Alliance Scale …

Sepsis Bundle Completion, Jenna Churnock

Dissertations

Background: Sepsis is a serious condition resulting in end organ damage and ultimately, death. Communication techniques for nurses and physicians on septic patients admitted to the hospital from the emergency department was evaluated. Paper communication was used in 2020 to facilitate serum diagnostic acquisition and antibiotic administration (i.e., sepsis bundle), but an electronic communication form was utilized in 2021.

Method: An observational, descriptive design utilizing a medical record review was completed to compare the same time-period in 2020 and 2021. Communication methods for sepsis bundle completion were compared.

Results: A total of 100 medical records were reviewed (N …

Self-Criticism As Experienced By Performing Artists A Phenomenological Study, Rosemary Hakes

Dissertations

The purpose of this study was to describe and document the essence of the experience of self-criticism for performing artists with the aim of providing recommendations for educational and therapeutic purposes. Moustakas (1994) defines essence as “that which is common or universal, the condition or quality without which a thing would not be what it is” (p. 100). In this study a phenomenological research paradigm was used. Each step in the data reduction process built directly toward revelation of essence through synthesis.

The central question guiding this research was: What is the essence of self-criticism as it is experienced by …

Effect Of Relaxation On Neuro-Immune Responses Of Persons Undergoing Chemotherapy, Patricia K. Taylor Pothier Phd, Ms, Rn

Dissertations

Chemotherapy can be considered both a physiologic and a psychological stressor. Anxiety, nausea, emesis, and immunosuppression are commonly associated with chemotherapy, and may adversely affect the outcome or the process of treatment. Chemotherapy-related anxiety can exacerbate negative side-effects. Some psychological stressors, such as anxiety, can result in down-regulation of certain immune functions. Studies have demonstrated that behavioral interventions, such as specific relaxation strategies, can modify stress-related immune modulation. These behavioral interventions have also been shown to decrease the degree of nausea and vomiting associated with chemotherapy. The purpose of this study was to examine whether a relaxation intervention would result …

Exploring The Effects Of Guilt, Spousal Support, And Role Conflict On The Psychological Well-Being Of The Educated Full-Time Stay-At-Home Mother, Susan Donley Desimone Phd

Dissertations

The purpose of this study was to examine the effect of guilt, degree of spousal support, role conflict, and decreased psychological well-being experienced by educated stay at home mothers with young children. Social role theory is utilized as a basis for the development of a theoretical model. Relevant research literature does not identify a link between guilt, degree of spousal support, role conflict, and decreased psychological well-being in stay at home educated mothers. The significance of this study was to bring recognition to the phenomenon among educated stay at home mothers that little or no attention has been acknowledged. The …

The Effects Of Reengineering On Hospital Performance Indicators, Linda Rutgers Albery

Dissertations

Reengineering was a management tactic designed to reduce costs and increase efficiencies in the work place. Although many hospitals reported reengineering efforts were a priority during the latter part of the 1990s, little research has been done to determine the effects of reengineering on cost and quality performance indicators.

This research studied a large regional medical center located in southwest Michigan, which implemented patient-focused care redesign. Within this medical center, ten separate and distinct patient care departments were studied over a 5-year period. These departments included critical care, medical, surgical, obstetric and pediatric areas. During the first year o f …

Transitioning And Adapting To College: A Case-Study Analysis Of The Experience Of University Students With Psychiatric Disabilities, Kenneth M. Werner

Dissertations

The psychiatric rehabilitation literature (Unger, 1987) indicates that few studies have been conducted about the adaptational demands associated with the transition to college for young adults with psychiatric disabilities who negotiate the university experience without the benefit o f a supported education program .

The purpose of this study was to describe how individual, social, and institutional factors contributed to the successful transition and adaptation to college life for students with psychiatric disabilities. The study sought to identify how students with psychiatric disabilities disclosed their illness in order to request support services and accommodations, and which services were essential or …

Promoting Healthy Behavior Change In Skin Cancer Risk Reduction Using The Transtheoretical Stages Of Change Model, Sherry L. Pagoto

Dissertations

Skin cancer is the most commonly diagnosed cancer in the United States with 20% of people developing some form of skin cancer in their lifetime (American Cancer Society, 1999). In spite of the high incidence of skin cancer, it is highly preventable. Approximately 90% of the cases are caused by exposure to ultraviolet radiation from the sun (Skin Cancer Foundation, 1992). The effect of an intervention aimed at reducing skin cancer risk was compared to a survey only control group in 99 Chicago beach-goers. The intervention was based on the Transtheoretical Stages of Change Model (TTM) and included sun sensitivity …