Medicine and Health Sciences Commons^™

Crossing Myriad Borders: A Dimensional Analysis Of The Migration And Health Experiences Of Indigenous Oaxacan Women, Sharon Mcguire Phd, Op, Msn, Rn-C

Dissertations

The growing feminization of the migration of ethnic indigenous women, such as Mixtecs, Zapotecs and Triquis from the southern Mexican state of Oaxaca, are altering the dynamics and configuration of traditional Mexican migration, making it especially significant for the health professions. Informed by a postcolonial ecofeminist paradigm, this bi-national grounded theory study explored the migration and health experiences of indigenous Oaxacan immigrant/migrant women. Data collection using participant observation and interviewing occurred in Oaxaca, Mexico, along the US-Mexico border, and the interior of California. Dimensional analysis was used as the method of data analysis to generate theoretical understandings of these phenomena. …

A Comparison Of The Health Beliefs Of Florence Nightingale And Ellen G. White And The Incorporation Of Them Into Their Respective Schools Of Nursing, Ruth Duncan Abbott

Dissertations

This study explored the similarities and differences of the health beliefs of Ellen G. White and Florence Nightingale and how these beliefs were incorporated into each of their respective schools of nursing, the Nightingale Training School for Nurses at St. Thomas' Hospital and the Medical Missionary Training School for Nurses at the Battle Creek Sanitarium in Battle Creek, Michigan. The research also examined the contextual factors that shaped each woman's philosophy and influenced the manner in which they carried out their work. Additionally, the research provides information about the historical context surrounding the beginnings of modern nursing, education, health, society, …

Job Satisfaction Among Psychologists In A Managed-Care Environment, Walter R. Vyhmeister

Dissertations

The problem. The efforts of managed care to balance resources, cost, and quality of services have created new issues among mental health professionals, affecting their careers and having the potential to affect their job satisfaction. Therefore, the purpose of the study was to investigate how managed care has impacted career satisfaction among professional psychologists.

The method. The present investigation examined 21 factors in the prediction of job satisfaction among licensed psychologists. A sample of 1,000 licensed psychologists located in California, Oregon, and Washington was randomly selected from the National Register of Health Service Providers in Psychology. Three hundred seventeen participants …

The Effect Of A Jail-Based Substance-Abuse Program On Anxiety, Depression, And Locus Of Control, Peggy Leigh Frick

Dissertations

Problem. More and more alcohol and drug users are coming into contact with the criminal justice system. Some of these individuals may have comorbid mental health issues. This present study sought to determine whether the New Avenues Substance Abuse Treatment Program, housed at the Correctional Work Center, Davidson County, Tennessee, did, in the course of treatment, have an impact on the anxiety, depression, and locus of control of those individuals completing the program.

Method. The Beck Depression Inventory-II, the Beck Anxiety Inventory, and the Rotter Internal versus External Control of Reinforcement Scale were utilized to measure depression, anxiety, and locus …

Developmental, Psychosocial, And Economic Predictors Of Healthy Newborns In Michigan’S Teenage Pregnancies, Cheryl Lauber

Dissertations

Teenage pregnancy is a critical health indicator. Using a risk reduction model, this study examined the relationship between the characteristics o f the teenage mother i and her newborn. The research questions were: ( I) what risk factors are associated with poor birth outcomes, (2) is addressing each factor the best way to reduce the risk, and (3) has the overall risk changed as the birth rate has declined? Developmental, psychosocial and economic risks were identified as independent variables, while age and race were mediators.

Combining the birth certificate records of women under age 20 from 1990 through 1997 resulted …

Comparison Of Health Promotion Behaviors And Performance On The Navy Physical Readiness Test Among Active Duty Shipboard Personnel With And Without Anterior Knee Pain, Robin Theresa Mckenzie Phd, Msn, Rn

Dissertations

Health promotion is the number one health priority of the nation, yet, health promoting behaviors (HPB) are rarely part of the management plan for persons with anterior knee pain (AKP). In an active duty military population, AKP can interfere with performance on the required, semi-annual physical readiness test (PRT). The purpose of this descriptive, comparative study was to compare the relationships among HPB, AKP and performance on the PRT between two groups of active duty Navy shipboard personnel (those with AKP and those without AKP). Pender's (1996) Health Promotion Model (HPM) served as the theoretical framework. Subjects completed demographic and …

Noneconomic Barriers To Health Care Utilization By African-Americans, Johnie M. Tarver Phd, Msn, Rn

Dissertations

Many efforts have been made to maximize the utilization of health cue system. As a result the utilization of health care system by African Americans has increased, improving the health status (Blendon, Aiken, Freeman, & Corey, 1989). While some improvements have been made, recent reports show disparities between African Americans and Caucasians in the utilization of health care systems and in their health status. Barriers have been identified among those in the lower social economic status (SES). These barriers impede health care utilization and negatively affect health status. However, studies show that among some African Americans when health care is …

Missionary Nurse Dorothy Davis Cook, 1940–1972: "Mother Of Swazi Nurses", Susan Elaine Elliott Phd

Dissertations

Dramatically absent from nursing's historical knowledge and professional recognition are the lives, roles, contributions, and legacies of Christian faith-based nurses. The purpose of this study was to investigate the ministry and service of Sister Tutor Dorothy Davis Cook, Church of the Nazarene missionary nurse in the African country of Swaziland 1940 to 1972. The multi-dimensional, multi-task expanded roles manifested in her integration of Christian missionary and nurse were explored and her legacy identified. The most significant primary source for this study was Mrs. Cook herself. She was interviewed on three occasions and has provided personal documents, journals, and photographs. Data …

Adolescent Perceptions Of Parent-Adolescent Communication And Adolescent Pregnancy, Susan L. Tohm Lloyd Phd, Ms, Rn

Dissertations

Identification of adolescent perceptions of parent-adolescent communication, a significant factor in family functioning and connectedness, is important if effective interventions are to be provided by health care professionals related to decreasing the number as well as the adverse effects of adolescent pregnancy in the United States. The purpose of this descriptive, non-experimental, triangulated study was to examine the relationship between the perceived quality and effectiveness of parent-adolescent communication and pregnancy from the perspective of pregnant adolescent women in the Banning/Beaumont area of southern California. The theoretical framework for this study was based on adolescent and family developmental theories, family communication …

The Role Of The Academic Physical Therapy Department Chair As Perceived By Physical Therapy Teaching Faculty And Chairs, Wayne Louis Perry

Dissertations

Problem

The purpose o f this study was to determine the roles, responsibilities, and characteristics o f the physical therapy department chair as perceived by physical therapy unit administrators and teaching faculty in accredited, entry-level physical therapy programs.

Method

The research population consisted o f current administrators and teaching faculty who work at least half time in accredited physical therapist education programs. The data were analyzed utilizing descriptive statistics, chi-square analysis, and ANOVAs with post hoc tests where appropriate.

Results

The results o f this study indicate that physical therapy unit administrators tend to be older, more experienced, carry higher …

Religious Commitment As A Correlate Of Mental Health And Life Satisfaction Among Black American Families, Judith Bernard-Fisher

Dissertations

Problem. The salutary effect of religion is receiving greater acceptance among researchers, and its positive association with both physical and mental health has been increasingly examined in the scientific literature. Since religion has played a central role in the lives of Blacks, and since previous research has identified positive correlations between some religious attributes and individual well-being, it would seem that religious Black families would enjoy a greater degree of health.

A religious commitment model encompassing affiliation, participation, devotional intensity, and practices was used in the investigation of Black families' mental health and life satisfaction. As the first study of …

Comparing Outcome Of Residential And Intensive Outpatient Treatment Services For Substance Dependence, Shawn E. Channell

Dissertations

The past 20 years have witnessed a significant increase in the number of published studies comparing inpatient with outpatient substance dependence treatment The majority of these studies have reported no benefit for those recipients receiving more intensive treatment However, the outpatient treatment investigated in these studies has typically been day treatment often involving 27 hours a week of participation, and not intensive outpatient treatment (IOP), which involves 12 or fewer hours of participation per week. Additionally, few published studies have compared alcohol and cocaine dependent populations. This study was designed to compare effectiveness of the residential and intensive outpatient levels …

Diagnostic Issues With Attention Deficit Hyperactivity Disorder: Conditional Probabilities And A Measure Of Symptom Ratings, Margo Adams Larsen

Dissertations

Current assessment taxonomy, including the DSM -IV and the International Classification of Diseases (ICD) (World Health Organization, 1990) editions, have provided semistructured criteria sets to aid professionals in making a diagnosis of ADHD or ADD. The diagnostic taxonomy criteria, however, have resulted in a very heterogeneous population of Attention Deficit Hyperactivity Disordered (ADHD) individuals. Several studies have attempted to assess the behavioral syndromes— Attention Deficit Hyperactivity Disorder (ADHD)/Conduct Disorder (CD)/ Oppositional Defiant Disorder (ODD)—in terms of test or symptom sensitivity, specificity, positive predictive power, and negative predictive power (Landau, Milich, & Widiger, 1991; Milich, Widiger, & Landau, 1987; Waldman & …

The Validity Of The Adhd Section Of The Diagnostic Interview Schedule For Children, Ann M. Mcgrath

Dissertations

The purpose o f this study was to learn more about the validity o f the ADHD portion of the NIMH-DISCIV. In order to accomplish this goal, 58 youth participants were divided into three groups: (1) subjects who met criteria for ADHD based upon both the youth and the caretaker versions of the DISC; (2) subjects who met criteria for ADHD based upon the caretaker DISC, but not according to the youth DISC; and (3) subjects who did not meet criteria for ADHD according to either the youth or the caretaker DISC. Subjects in these groups were compared across parent …

Coping Strategy And Social Support Differences Among Copd Patients: Effects On Psychological Well Being, Functional Status, And Health Care Utilization, Terri Belville-Robertson

Dissertations

This descriptive study examined coping strategies and social support among thirty-three patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD) to assess relationships to psychological and functional status, and health care utilization. More specifically, the qualitative and quantitative differences in coping strategies and social support were examined in relation to anxiety, depression, activity level, and use of emergency and inpatient medical services. Subjects participated in a one-session screening that included a brief clinical interview, battery of questionnaires and exercise tolerance test. Health care utilization data were obtained from subjects’ medical records. Subjects' primary support persons also provided collateral data …

Evaluating The Social Acceptability Of Persons With Habit Disorders: The Effects Of Topography, Frequency, And Gender Manipulation, Douglas W. Woods

Dissertations

Literature suggests that children who exhibit habit disorders are less socially acceptable than children who do not exhibit such disorders. This series of studies investigated the social acceptability of adults who exhibit habit disorders. In Studies 1 and 2, undergraduate students rated the social acceptability of individuals who exhibited motor tics, vocal tics, hairpulling, and no habit. Results showed that the individuals with no habit were more socially acceptable than the individuals who exhibited either motor tics, vocal tics, or hairpulling.

In Study 3, videotapes were created in which actors simulated motor tics, vocal tics, Tourette’s Syndrome, and Trichotillomania. The …

The Effects Of Sibling-Implemented Training On Social Behaviors Of Autistic Children, Cristin L. Sullivan

Dissertations

The present study investigated the effectiveness of sibling-implemented pivotal response training (PRT) on the social behaviors of five children with autism. Using a multiple-baseline design across sibling pairs, participants were trained to use PRT while playing with their brother’s with autism. Measures of play skills and social behavior were assessed during baseline, training, sibling-independent play, and two-month follow-up sessions. Also, parents were asked to rate randomly selected video-tape segments from baseline and sibling-independent play sessions. The results indicated that siblings were able to learn effectively and implement PRT strategies following training. All of the children with autism demonstrated an increase …

Crossing The Line: Experiences Of The Formerly Homeless Living Past Homelessness, Susan Marie Bennett Dnsc, Msn, Fnp, Rn, Cs

Dissertations

This grounded theory study explored the experiences of formerly homeless individuals and families who have moved from homelessness into stable housing. This was an ethnographic study and involved the researcher staying in an east coast shelter where some of the formerly homeless participants had become staff members and reside. Data analysis was informed by dimensional analysis. Moving out of homelessness was the studies perspective. Findings of the study revealed the following dimensions that related the formerly homeless's experiences: (a)reacting to circumstances, or how they became homeless; (b)surviving as homeless, or how they lived while homeless; (c)crossing the fine, or what …

Factors Related To Stage At Diagnosis In African-American And Caucasian Women Diagnosed With Breast Cancer In The Military Health System, Sandra C. Garmon Bibb Dnsc, Msn, Rn

Dissertations

The focus of this descriptive-comparative study was to investigate the relationships between potential access (race, age, socioeconomic status (SES), and the means of discovery of breast cancer), realized access (the length of time between discovery of breast abnormality and diagnosis of breast cancer, and the length of time between diagnosis and initiation of breast cancer treatment), and stage at diagnosis of breast cancer, in African American and Caucasian women, receiving care within an equal economic access health care system. The research questions were answered through secondary analysis, using data obtained from the tumor registry records of 62 African American and …

Determining Cutoff Scores For The Mmpi-2 Substance Abuse Scales For An Inmate Population, Barbara A. Johnston

Dissertations

The current research project examined the psychometric properties of the substance abuse scales of the Minnesota Multiphasic Personality Inventory, Second Edition (MMPI-2) with an inmate population. The scales of interest included the MacAndrews Alcoholism Scale Revised (MAC-R), the Addiction Potential Scale (APS) and the Addiction Acknowledgement Scale (AAS).

A total of 80 subjects were administered the MMPI-2 which resulted in 73 valid profiles. Of the valid profiles, 54 were chemically dependent and 19 were nonchemically dependent inmates. There were no differences between groups in regard to sociodemographic variables.

The data analyses indicated that the AAS and APS are efficient and …

Screening For Eating Disorders Utilizing The Minnesota Multiphasic Personality Inventory, Roseann M. Woodka

Dissertations

Problem

Eating disorders, in the form of anorexia nervosa and bulimia nervosa, have been recognized as significant mental-health issues for the last three decades, and the incidence is rising as we approach the new millennium. Currently, many women who come into a mental-health setting due to depression, anxiety, low self-esteem, relationship issues, sexual issues, etc., are also struggling with eating-disordered behaviors, thoughts, and feelings. These behaviors, thoughts, and feelings may remain well hidden from the counselor throughout the course of therapy or until they become severe and more difficult to treat. Because eating disorders are very complex involving psychological, physical, …

The Reflective Process In Nursing Clinicals Using Journaling And Dialogue, Rita Van Horn

Dissertations

Method. Two case studies describe the experiences of (1) 17 students who worked individually in the hospital clinical setting and who answered specific questions about problem solving in a written journal and (2) 20 students who were paired in the clinical setting and who answered the same questions together in a journal shared by the pair. In both case studies the experience was 9 weeks. The written journal questions were designed around a problem-solving process and thoughts and feelings about the clinical experience. A rubric adapted from Boud, Koegh, and Walker’s (1985) reflective model was used to analyze the journal …

An Understanding Of Selected Familial Dynamics As They Relate To The Prevention Of Substance Use Among Youth From St. Martin, Vincent A. David

Dissertations

Problem. Various studies examined the relationship between youth, drug use, and the role that families play in influencing such use. Thus, it is evident that youth use drugs, and thereasons for their drug use vary widely. However, there have not been widespread research done on the youth who do not use drugs, particularly from a family perspective. Also, no research study has been known to be conducted on St. Martin of such nature.

Purpose. This study sought to gain an understanding on how selected familial dynamics functioned within three families in deterring their youth from becoming involved in …

Critical Thinking In Associate Degree Nursing Education, Nancy Tucker

Dissertations

Problem. This study sought to investigate the level of critical thinking (CT) of the associate degree in nursing (ADN) students and the relationship of CT and clinical judgment (CJ) with selected pre-admission and exit variables.

Method. A convenience sample of 112 ADN students (79 generic, 33 non-traditional) at a small, private liberal arts college on the West Coast participated in this exploratory study. The California Critical Thinking Skills Test (CCTST) was used to measure the level of CT, and CJ was measured using the Clinical Decision Making in Nursing Scale (CDMNS). Differences between the generic and non-traditional groups were explored …

Acts Of Resistance: Nurses' Personal Narratives, Maryanne Garon Dnsc

Dissertations

Acts of resistance can be expressions of creativity, protest or non-cooperation by oppressed groups. Resistance is seen as always present in the face of domination. Acts of resistance can help us to understand how the powerless mediate power relations, and they can actually give hope to the powerless. This study looked at the issues of power and resistance through critical and feminist perspective. A central concept of feminist theory is that women, and thus nurses as a women's profession, are oppressed. This study looked at female nurses' acts of resistance, which were defined as speaking up or taking action about …

Conceptual Metaphor In The Health Care Culture, Cheryl D. Glennon Dnsc, Ms, Rn

Dissertations

The conceptual metaphor has meaning only when understood within the cultural framework which gives rise to the conceptualization. The purpose of this study was to investigate the interaction of cognition (conceptual metaphor) and culture as manifest during intercultural communication in teaching-learning sessions between health care providers and patients. An ethnography of communication (Hymes, 1974; Saville-Troike, 1989) was the method employed to investigate the use of metaphor by patients, nurses and other health care professionals. Patients were viewed as a sojourner group in the health care culture; nurses and their health care partners were seen as a host group. Data were …

Influence Of Psychiatric Diagnostic Training On Counseling Students’ Development Of A Model-For-Helping And Professional Identity, Jerry E. Mclaughlin

Dissertations

Over the years, numerous proposals have been made in the counselor education (CE) literature about what counseling philosophy can best lead the profession to a distinctive professional identity (Bauman & Waldo, 1998; Fong & Lease, 1994; Guterman, 1994). An issue in this debate is whether psychiatric diagnostic training forms a part of a counseling philosophy (i.e., model-for-helping) and professional identity that is more focused on client psychopathology than on normal developmental issues. This study explored how training and experience in psychiatric diagnostic categories (PDCs) influenced counselors’ development of their counseling philosophy and professional identity.

Focus-group interviews were held at four …

The Relationship Of Self-Esteem, Learned Resourcefulness And Social Support To Health-Related Quality Of Life In Long-Term Cancer Survivors, Leli W. Pedro Dnsc, Ms, Rnc, Ocn

Dissertations

Increased survival and advances in oncology research demand that health professionals attend to the gap in knowledge regarding health-related quality of life (HRQL) variables associated with the unique sequelae of cancer in the long-term (LT) cancer survivor. Research in this area may direct the development of effective interventions to increase the HRQL of LT cancer survivors. The study's purpose was to describe the relationships between self-esteem, learned resourcefulness, and social support to HRQL as well as their predictive value to HRQL for LT cancer survivors. A quantitative, descriptive, correlational, and noninterventional design was used to describe the relationship of self-esteem, …

Relationships Between Posttraumatic Stress, Acculturation, And Maternal Sensitivity In Vietnamese And Hmong Mothers, Gwendolyn F. Foss Dnsc

Dissertations

The purposes of this study were to determine if posttraumatic stress (PTS), depression, and anxiety occurred in a community sample of Vietnamese and Hmong mothers and to describe relationships between PTS, depression, anxiety, acculturation and maternal sensitivity. Transition theory (Bridges, 1980), and a conceptual model of parenting in immigrant populations building on Belsky's (1984) work, provided the theoretical framework (Foss, 1996). The sample was divided evenly between Vietnamese and Hmong participants. Ages ranged from 17–43 years, time lived in the United States ranged from 3–21 years, and education ranged from no formal education to completion of college. Maternal sensitivity was …

Disruption Of The Discriminative Stimulus Effects Of (+)-3, 4-Methylenedioxymethamphetamine (Mdma) By (± )-Mdma Neurotoxicity: Protection By Fluoxetine, Thomas B. Virden Iii

Dissertations

It is well established that repeated, high doses of 3, 4-methylenedioxymethamphetamine (MDMA) result in the long-term depletion of serotonin levels and destruction of serotonergic terminals in various locations in the brains of a variety of species. Further, it is also well known that concomitant injections of the serotonin reuptake inhibitor, fluoxetine, prevents this deterioration. It has recently been noted that such MDMA neurotoxicity disrupts stimulus control in rats trained to discriminate MDMA from saline in a drug discrimination procedure (Schechter, 1991a).

In order to extend Schechter's findings to the optical isomers of MDMA and to explore the potential of fluoxetine …