Medicine and Health Sciences Commons^™

Living With Changing Health: Perimenopause Among Chinese Women In Taiwan, Lee-Ing Tsao Dnsc, Mnsc, Rn

Dissertations

The purpose of this qualitative study was to generate theory about women's perimenopausal life experiences. Thirty-five Taiwanese women aged 40 to 59 who perceived themselves as perimenopausal and who were not using hormone therapy were interviewed. Data were generated from interviews which were conducted in Mandarin. Living with Changing Health was the core category for describing and guiding the process of perimenopause. During this process, Awareness was identified as the antecedent condition. Once the woman became aware, she would begin the process of living with her changing health. This process would be marked by action and interaction among the categories …

Cultural Discovery In Nursing Practice: The Experience Of Nurses' Who Work With Vietnamese, Evelyn Labun Dnsc, Mscn, Rn

Dissertations

The purpose of this investigation was to generate a substantive theory of cultural discovery among nurses who work with Vietnamese. A grounded theory approach involving dimensional analysis was employed. A purposive sample of 27 registered nurses with experiences working with Vietnamese in acute care, community, and clinic settings was interviewed using a semi-structured format. Data were analyzed for dimensions as well as conditions, context, action strategies, and consequences. The theory of cultural discovery described how nurses learn to see their Vietnamese clients, how they saw a common humanity with others, and how they learn to see health. Nurses who made …

Teenage Pregnancy In St. Kitts-Nevis: Psychosocial And Familial Factors, Ermine T. Leader

Dissertations

Problem. This study was conducted to examine some of the factors that are related to teenage pregnancy in St. Kitts-Nevis. It focused on the relationship between teenage pregnancy and father absence/presence, intergenerational teenage pregnancy, childhood sexual abuse, and domestic violence. A young girl's view of her relationship with both parents, the self-esteem of respondents, and their level of attendance and participation in church-related activities were also studied.

Method. Two instruments were incorporated into the questionnaire administered to females in St. Kitts and Nevis between the ages of 12 and 21, some of whom had experienced a pregnancy, and others who …

Negative Consequences Of Undergraduate Alcohol Usage : A Multivariate Gender Comparison, Leonald Dean Robinson

Dissertations

Problem. While the literature indicates that many male undergraduates suffer numerous negative consequences from alcohol usage, little is known about what, if any, consequences female undergraduates experience. Therefore, this study empirically tested if female undergraduates, ages 17-24, who share similar demographics, perceptions, and alcohol use locations as male undergraduates, also share similar alcohol usage patterns, negative consequences, and predictors for both.

Method. Secondary analysis was conducted on 1992 and 1993 United States Department of Education CORE Survey data collected from 345 male and 584 female undergraduates at two Midwestern private liberal arts colleges. Frequency, chi-square (p

Results. Both genders' …

The Isolation And Characterization Of Plv22a, A Mobilizable Plasmid From Bacteroides Fragilis, Thomas Joseph Novicki

Dissertations

No abstract provided.

Norf1, A Putative Human Group I Rna Helicase That Regulates Nonsense Mrna Levels, Steven E. Applequist

Dissertations

No abstract provided.

Role Of Tgf-† In Heart Development: Analysis Of The Type Ii Tgf-† Receptor, Patricia S. Grutkoski

Dissertations

No abstract provided.

Mending A Torn Fish Net: Parse's Theory-Guided Research On The Lived Experience Of Hope, Ching-Eng Hsieh Wang

Dissertations

No abstract provided.

Persisting While Wanting To Change: Research Guided By Parse's Theory, Florence Beryl Pilkington

Dissertations

No abstract provided.

The Influence Of Physical Activity On Perimenopause, Suling Li

Dissertations

No abstract provided.

Too Familiar For Words: An Analysis Of "Invisible" Nursing Work, Frances R. Vlasses

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No abstract provided.

The Phenomenology Of Being Restrained, Mary Elizabeth Johnson

Dissertations

No abstract provided.

Young Adult Women's Responses To Undergoing Treatment For Early Breast Cancer, Donna Abrashoff Schutte Dnsc

Dissertations

In the nearly two decades of cancer research in the United States, there has been little emphasis on the experiences of young adult women with breast cancer. I therefore adopted a qualitative multicase study method to explore the experiences of five young adult women from the time of discovery of a breast mass through the first three months of recovery from mastectomy. Utilizing data collected via semi-structured interviews, this study sought to describe their concerns, the way in which their concerns changed over time, and the influence of contextual factors. Three themes were identified. These included: "I'm going to die!" …

A Study Of The Emotional Responses And Coping Strategies Of Male And Female Athletes With Moderate And Severe Injuries, Donna S. Eaton

Dissertations

Emotional responses and coping strategies of injured athletes was the focus of the study. Several emotions have been identified in injured athletes such as frustration, depression, anger, and shock. Questions remain whether males and females feel similar emotions and engage similar coping strategies and whether severity of injury is a significant factor in responses and coping.

Quantitative data were obtained on emotional responses and coping strategies using the Emotional Response of Athletes in Injury Questionnaire (ERAIQ), the Profile of Mood States (POMS), and the COPE. The study examined whether gender and severity of injury may influence emotional responses and coping …

Helper Woman: A Biography Of Elinor Delight Gregg, Jacqueline S. Pflaum Dnsc, Mph, Ms

Dissertations

The intent of this investigation was to conduct an extensive study of the life and character of Elinor Gregg (1886-1970) in order to identify the contributions she made to professional nursing and to humanity. Nurse, educator, administrator, beloved relative, and friend, Elinor Gregg was an outstanding person whom nurses today might well emulate. Historical method provided the context for the study. Data were collected from the National Archives; National Library of Medicine Historical Section; Nursing Archives at Mugar Library, Boston University; Nursing Archives at Simmons College; National Headquarters of the American Red Cross; Archives of Colorado College; and Archives of …

Behavior And Attitudes Related To The Prevention Of Sexually Transmitted Disease And Unplanned Pregnancy, J. Lee Hoover

Dissertations

A sample of 214 persons was tested to determine the impact of gender role orientation, neuroticism, extraversion, authoritarianism, race, gender, and sexual orientation on attitudes and behavior relevant to the prevention of sexually transmitted disease and unintended pregnancy. Specifically measured was the impact of these factors on attitudes toward the condom as contraceptive, attitudes toward the condom as prophylactic, and reported condom use.

Gender role orientation was measured using the short form of the Bern Sex Role Inventory (BSRI) (Bern, 1978), neuroticism and extraversion were measured using the NEO-Five Factor Inventory (NEO-FFI) (Costa & McCrae, 1992), and authoritarianism was measured …

Effects Of Exercise And Psychosocial Stress On Blood Glucose In Non-Insulin Dependent Diabetics, Lisa Renae Clemensen

Dissertations

Non-insulin dependent diabetes often has serious consequences for individuals if blood glucose is not maintained within relatively normal ranges. Exercise and stress have been enumerated as important variables for the control of blood glucose in non-insulin dependent diabetics.

This study compared blood glucose and stress for eight exercise and eight matched control non-exercise adult noninsulin dependent participants. A prospective home monitoring design was used to monitor daily blood glucose, stress, and physical activity via multiple measures for six days.

Results indicated that control participants had significantly higher average blood glucose readings and higher blood glucose variability. Daily stress measures did …

Training Nonconventional Autoclitic And Tact Relationships In Children, Ingolfur Bergsteinsson

Dissertations

To some extent, one understands a complex aspect of human language if one can produce that kind of language in children who have not already acquired it. Skinner’s (1957) concept of autoclitic secondary verbal behavior is the most complex of his various verbal units, and until recently has not been the subject of experimental analysis. Howard and Rice (1988) made the first attempt to generate an autoclitic repertoire in preschool children, and the present study is an attempt to corroborate and extend their findings. They worked with the autoclitic “like” which identifies the accompanying primary verbal behavior as a form …

Children With Hiv: How They Feel About What Parents Say, Susan Pease Instone Dnsc, Msn, Cpnp

Dissertations

With improvements in diagnosis and care, children with HIV infection are living long enough to reach school age, a stage when they are capable of perceiving the stigmatizing, life-threatening nature of their illness. Many parents desire to protect them from this knowledge by avoiding an open dialogue about their disease, even though pediatric professionals advocate disclosure. Research-based guidelines about the risks and benefits of telling, however, have not been available in the literature. Using an innovative, qualitative approach through the use of grounded theory and projective drawing techniques, this investigation sought to explore what parents said about the illness and …

The Effect Of Written Information And Reassurance On Patient Satisfaction, Anxiety, And Intent To Return For Emergency Care, June Andrea Dnsc

Dissertations

Patients' satisfaction is one of the primary goals of emergency department (ED) providers today. As emergency departments are overcrowded, stressful environments, anxious patients want to be kept informed. Nurses have the opportunity to meet these needs and possibly influence the patients' perception of the experience and intent to return for future care. This study examined the effects of providing written information and reassurance on patient satisfaction, anxiety, and intent to return for emergency care. The design was a posttest design involving a comparison between the control and three experimental groups. Two hundred and forty patients participated in the study, approximately …

Ethical Decision-Making Among Critical Care Unit Nurses, Mary Ellen Bowen Dnsc, Mn, Rn, Cnaa

Dissertations

The health care business has created complex relationships between consumers and health care institutions. Rising health costs, rationing of health care and medical technology have put critical care unit (CCU) nurses in complex environments where they must face ethical conflict. CCU nurses find themselves ill equipped to make sound decisions concerning ethical dilemmas. Nurses must ensure the patient's choices are respected and honored due to the duties inherent in the nurse-patient relationship. The purpose of this study was to explore the process of ethical decision making (EDM) as it is experienced by CCU nurses. Gaining an understanding of this process …

Nursing Faculty Connecting With Students: A Heideggerian Hermenteutical Study, Debra I. Craig Dnsc, Msn, Rn

Dissertations

This study sought to gain an insight into the phenomenon of nursing faculty members connecting with students. Caring has been espoused as a key component of nursing education for many decades. In the last 10 years the terms caring and connecting are commonly found associated with each other, and yet there is no clear definition of connecting. It is important to understand a phenomenon from the point of view of those who are experiencing it. Therefore, a study which asked nursing educators to tell stories of the times they had connected with students was undertaken. Ten nurse educators in the …

The Journey From Nonexerciser To Exerciser: A Grounded Theory Study, Keri Kuniyoshi Medina Dnsc, Ms, Rn

Dissertations

The physiological and psychological health benefits of regular physical exercise are well-documented; however, drop-out rates from both supervised and unsupervised exercise remain high. Many potential influences on exercise behavior have been studied, but with largely inconsistent results, making it difficult to identify key targets for intervention. The purpose of this study was to explore the process through which nonexercisers become exercisers, and the contextual factors which affect movement through this process, in order to enable nurses to more successfully assist clients to incorporate exercise into their lifestyles. The exercise experiences of 22 individuals who had successfully made the transition from …

The Discriminative Stimulus Properties Of Morphine And U-50,488h In A Three-Key Assay: A Mu And Kappa Opioid Discrimination In The Pigeon, Malath Makhay

Dissertations

Opiate drugs have been classified in two-choice assays according to their ability to produce generalization in animals to the prototypicix opiate, morphine, versus vehicle, or to the k opioid, U -50,488H versus vehicle injections (Picker & Dykstra, 1987). A three-choice discrimination procedure, in which subjects discriminate among morphine, U -50,488H , and vehicle injections, might afford a greater degree of precision in characterizing the subjective effects of opioids. The feasibility of such a procedure was demonstrated in the present study, in which five pigeons were trained to discriminate among injections of 5 .6 m g/kg morphinel 5 .6 m g/kg …

The Relative Effectiveness Of Face-To-Face And Telephone Contact By Community Mental Health Workers During Psychiatric Inpatient Treatment Of Children And Adolescents, Bruce Patrick Hackworth

Dissertations

Problem. With the advent of managed care has come the increasing necessity to provide effective and efficient services to children and families experiencing severe emotional disturbances. The use of cost-effective and therapeutically effective services is at the crux of an effective service delivery system. Few studies have considered the usefulness and comparative effectiveness of face-to-face versus telephone interventions in therapeutic situations. This study considered the clinical value of face-to-face community mental health worker involvement during and after psychiatric inpatient hospitalizations of children and adolescents ages 11-17. The study also considered the comparative value of this follow-up when using master's-trained, mental …

Weathering The Storm Persevering Through A Difficult Time, Lynn Allchin-Petardi

Dissertations

No abstract provided.

The Kinetic Family Drawing As A Measure Of Minuchin's Structural Family Concepts Among Hispanic American Families With Substance-Abusing And Nonsubstance-Abusing Adolescents, José Osorio-Braña

Dissertations

Problem. There is a need for validation of new cultural-sensitive tests for assessing the Hispanic population in the United States that will take into account their cultural competence in the psychological evaluation practice. The purpose of this study was to explore the suitability of the Kinetic Family Drawings as a measure of Minuchin's Structural Family Theory among Hispanic American families with substance-abusing and nonsubstance-abusing adolescents.

Method. The Kinetic Family Drawing (KFD), the Structural Family Interaction Scale-Revised (SFIS-R), and the Family Adaptability and Cohesion Scales (FACES II) were administered to 141 families, 74 with an adolescent with substance-abusing problems and 67 …

The Relationship Between Co-Dependence And Borderline Personality Disorder, Helen P. Bird

Dissertations

Problem. Co-dependence (CODC) is described as an "incurable disease" by some practitioners in the addictions treatment business. The CODC concept developed in isolation from mainstream psychology and psychiatry and remains an unverified diagnostic category. It has been compared with Borderline Personality Disorder (BPD) and this relationship was investigated.

Method. Representative samples of the voluminous literature on CODC and BPD were reviewed in an effort to identify commonalities. The characteristics used for comparison were the ones identified by Dr. E. G. Goldstein in Borderline Disorders: Clinical Models & Techniques (1990). Two self-report, anonymous instruments were used; one was completed by clinicians …

Effect Of Neurotrophic Factors On Cholinergic Neurons In The Septo-Hippocampal Pathway Of Normal And Af64a Treated Rats, Christopher Andrew Willson

Dissertations

No abstract provided.

The Effect Of Estrogen In A Murine Model Of Peritoneal Adhesion Formation, Michelle Rene Frazier-Jessen

Dissertations

No abstract provided.