Medicine and Health Sciences Commons^™

Feeling Alone While With Others, Carol Ann Leverich Gouty

Dissertations

No abstract provided.

Considering Tomorrow: Parse's Theory-Guided Research, Sandra Schmidt Bunkers

Dissertations

No abstract provided.

An Exploration Of The Relationship Between Critical Thinking Skills And Preferred Learning Styles Of First Year Nursing Students, Gloria J. Clocklin

Dissertations

The purpose of this study was to determine if a relationship existed between the manner in which nursing students preferred to learn and their ability to think critically. First year nursing students (N = 197) from four colleges in a rural Midwestern geographic region were the subjects for the study. Students represented practical nursing, associate degree nursing, and baccalaureate degree nursing programs and were all in their first nursing course. Entire cohort groups from each college were included in the study.

The Kolb (1985) Learning Style Inventory and the Watson-Glaser Critical Thinking Appraisal (WGCTA, Watson & Glaser, 1980) were administered …

A History Of The Concept Of Creativity In Western Nursing: A Cultural Feminist Perspective, Karen K. Fritz Dnsc, Ms, Ba, Rn

Dissertations

Using historical methodology, this study examined the concept of creativity in Western nursing from a cultural feminist perspective. An exploration of the concept was accomplished by means of a review emanating from the English literature of Western nursing and its allied disciplines of education and psychology. Two distinct views of creativity were delineated--the classical and the contemporary. The classical understanding required the completion of a major product or attainment in order for creativity to be ascribed. In contrast, the contemporary view was that of a novel, unrestrained thought process. It required no creative work or attainment for its ascription. The …

A Model Of Patient Satisfaction And Behavioral Intention In Managed Care, Diane Sturdy Greeneich Dnsc, Ms, Rn

Dissertations

Determination of patient outcomes associated with new and return business is a primary objective of the managed care marketplace. Identification of variables which contribute to both positive and negative patient experience in managed care systems is crucial to their effectiveness. The purpose of this study was to test the functional relationships between the variables of nurse practitioner attributes and behaviors, patient perceptions of the managed care system, and outcomes of patient satisfaction and intention to return to and recommend the managed care system. Functional relationships were measured with the Patient Satisfaction Semantic Differential (Greeneich and Long, 1992), and the Service …

Care Of Aging Parents: The Experiences Of Middle-Aged Filipino Women, Carmen B. Toledo Galang Dnsc, Msn, Rn

Dissertations

The purpose of this study was to examine and analyze parent care as experienced by middle-aged Filipino women, particularly those who have resided in the United States for over 20 years. There is little information known about this topic; therefore, a grounded theory study design was utilized. Open-ended, semi-structured interviews of 29 Filipino women were conducted in English and/or Tagalog, and at times a combination of both languages. Data were transcribed verbatim from the audio-recorded interviews and analyzed using a constant comparative method of analytic induction. Field notes were kept and patterns of observation were analyzed according to their significance. …

Development And Testing Of An Explanatory Model Of Registered Nurse Empowerment, Marilyn D. Klakovich Dnsc, Msn, Rn, Cnaa

Dissertations

Recent innovations in patient care delivery and nursing governance require an empowered workforce. However, little is known about what combination of organizational, leadership, and personal characteristics maximize the prediction of registered nurse empowerment. The purpose of this study was to develop and test an explanatory model of registered nurse empowerment. The predictor variables included personal characteristics of registered nurses (age, experience, organizational tenure, education, and position level of clinical and/or management responsibility), perceptions of organizational culture, and connective leadership. The study was conducted in a tertiary-care hospital in Southern California. A total of 113 registered nurses completed the Organizational Culture …

Use Of A Structured Interview To Evaluate The Validity Of The Alcohol And Drug Dependence Scales Of The Millon Clinical Multiaxial Inventory Ii, Bert Van Hoek

Dissertations

This is an external validation study of the Alcohol and Drug dependence scales of the Millon Clinical Multiaxial Inventory II ([MCMI-II], Millon, 1987). The Structured Clinical Interview for the DSM-III-R ([SCID], Spitzer, Williams, Gibbon, & First, 1990) was administered to a sample of 73 adults who presented for treatment at a substance abuse facility to establish all possible substance abuse diagnoses based on the nosology of the revised Diagnostic Statistical Manual for Mental Disorders (3rd ed. [DSM-III], American Psychiatric Association, 1980). Subsequently, scores on the Alcohol and Drug Dependence scales of the MCMI-II for the present sample were compared to …

An Analysis Of The Personalities Of A Sample Of Students At Grand Valley State University Who Consume Alcohol, Jeanette Mcdowell

Dissertations

Problem. Literature on alcohol abuse among college students suggests that drinking patterns differ according to the expectations that people have about consuming alcohol. These expectations are strongly aligned to the personality traits/characteristics of theconsumer. At Grand Valley State University, alcohol abuse on campus is a great concern. The purpose of this study was to analyze the personalities and needs of some students at the university who have been participants in the Time Out program--a program structured for those who have been involved in alcohol use and have violated the rights of others while under the influence.

Method. Three instruments, a …

The Nature Of Mentoring And Its Relationship With Role Socialization For The Academic Nurse Administrator, Anna Rambharose Vance

Dissertations

Problem. Many academic nursing organizations have a great need for leaders who can handle the complex mix of academic administration, health care facilities, and curriculum demands. These administrators are not directly trained to be professional academic nurse administrators. It was the purpose of this study to investigate the nature of mentoring as a vehicle for socializing academic nurse administrators.

Method. A survey research methodology was used to study the characteristics of the mentor-protege relationship. The Mentoring Role Socialization Survey was the instrument used for data collection. For the purpose of this study, the instrument was divided into three sections: Professional …

Illness Impact And Adjustment To Parkinson's Disease: Before And After Treatment With Tolcapone, Mickie D. Welsh Dnsc, Rn

Dissertations

There is evidence that adjustment to chronic illnesses such as Parkinson's disease (PD) may be affected by psychological factors especially how patients appraise and cope with the stress of their illness. There has been limited research available examining the role of illness impact or appraisal in adjustment to chronic illness. No studies were found dealing with the interrelationship of illness impact, adjustment and pharmacological treatment. The purpose of this study was to determine whether the quality of life (as conceptualized by impact of illness and adjustment) was improved by treatment with tolcapone in persons with Parkinson's disease. This study was …

Pharmacokinetics And Pharmacodynamics Of Recombinant Hirudin Variant 2 (Rhv2) In Animal Models, Lalitha Iyer

Dissertations

No abstract provided.

What Parish Are You From?: A Chicago Irish Community And Race Relations, Eileen M. Mcmahon

Dissertations

No abstract provided.

Remembering Family Breakdown: A Heideggerian Hermeneutical Analysis, Janet Nelson Wray

Dissertations

No abstract provided.

The Experience Of Foster Families Of Cocaine-Exposed Infants, Sharon Holt Jackson Barton

Dissertations

No abstract provided.

Menopause: An Exploration Of Career Womens Experience, Elizabeth S. Carlson

Dissertations

No abstract provided.

The Affective Quality Of The Relationships Between Mothers Recovering From Cocaine/Polydrug Addiction And Their 12-Month-Old Infants, Jane Reed Vanbremen

Dissertations

No abstract provided.

"Well-Growness" Of The Newborn And Factors Contributing To Low Birth Weight, Diane Buck Kruse Dnsc

Dissertations

The problem of determining risk factors and antecedents of birth weight is multifactorial. The purpose of this study was to examine the effect of pre-pregnancy health status, prenatal care, stress, negative life style practices, nutritional status during pregnancy, and placental perfusion on the well-growness of the newborn (birth weight) in five time orderings and to examine the interaction of these variables on each other. The theoretical framework was a physiologic one centering on the effects of the proposed variables on the well-growness outcome. This prospective study used a correlational design with path analytic techniques. A sample of 160 pregnant women …

Effective Changes In Hospital Patient Accounting Since The Prospective Payment System (Pps), Carol L. Francke

Dissertations

This is a multiple case study that examined three hospital patient accounting departments since the adoption of the prospective payment system (PPS). The cases were chosen based on similarities such as their size and dependence on government programs for reimbursement, interviews were conducted and documents were reviewed from 1985 and 1990. Measures of gross revenue days in accounts receivable and the ratio of the number of full time equivalents (FTEs) to patient encounters were used to determine whether these patient accounting departments were more efficient in 1990 than in 1985.

Despite their selection of different forms of adaptation, all three …

The Environment: Alive, Whole, Interconnected And Interacting, Dorothy Kleffel Dnsc, Mph, Bsn, Rn

Dissertations

Nurses frequently care for individuals whose conditions are related to destructive environmental influences. Although the environment is a central construct in the nursing paradigm, its definition is client oriented, circumscribed, and does not adequately explain situations emanating from the larger physical, social, cultural, political, or economic spheres of the environment. This research described an expanded, ideal, environmental nursing domain derived from selected upstream scholars whose work has addressed broad environmental dimensions. Using the concept of future search, once this idealized environmental domain is envisioned, the nursing profession can begin to discover the knowledge base that is needed in order to …

Integrating Chronic Illness Into One's Life: A Phenomenological Inquiry, Susan Rush Michael Dnsc, Ms, Rn

Dissertations

Chronic illness is currently the number one health problem facing the United States; however, little is known about the experience of making chronic illness a part of one's life, particularly from the perspective of the chronically ill person. If nurses are to assist people in living with chronic illness, then an understanding of this experience is essential. Therefore, the purpose of this phenomenological inquiry was to explore how chronically ill adults integrate chronic illness into their lives. Seventeen chronically ill adults were interviewed by the researcher, and asked to describe how they integrated chronic illness into their lives. Each interview …

Implementation Of A Prone Position Pressure Injury Prevention Bundle In The Picu, Lauren Hacker

Dissertations

Pronation is a low cost, high value intervention used in treating children and adults with Acute respiratory distress syndrome (ARDS). Hospital-acquired pressure injury is the most common complication of pronation. While the presence of PI bundles and protocols have been shown to reduce incidence of PI in the prone position there is no standard bundle or protocol found in the literature, and no bundle or protocol specific to pediatric patients. The purpose of this quality improvement project is to create and implement a prone position pressure injury prevention bundle, called “Prone Pack”. This QI project setting was a 40 bed …

A Clinical Trials Evaluation Of A Double-Blinded Protocol To Assess The Therapeutic Effectiveness Of Stimulant Medication Prescribed For Children Diagnosed Adhd, Ann V. Thompson

Dissertations

This clinical trials investigation developed and evaluated a protocol for determining the therapeutic effectiveness of medication prescribed for children diagnosed ADHD. The protocol included two separate baseline periods of two week durations, each of which were followed by four randomly assigned probes of one week duration, consisting either of Methylphenidate or placebo capsules. Baseline probes were unblinded, but medication and placebo probe trials were double-blinded. Therapeutic effect, expectancies, and integrity of the double-blind control were assessed through a battery of rating scales and forms completed by the parent, teacher and child at the end of each protocol week, including baseline …

The Lived Experiences Of Nurses' Interactions With Ethnically Diverse Clients: A Phenomenological Perspective, Colette R. York Dnsc, Msn, Rn

Dissertations

This study explored the phenomenon of nurses' lived experiences while interacting with clients who were ethnically dissimilar to themselves in a variety of nursing care settings including acute care, ambulatory care and public health. This study is timely, especially in the county in which the study was conducted because of the ongoing influx of legal and illegal immigrants from diverse foreign geographic locales. Van Kaam's method for conducting phenomenological studies was employed for data gathering, categorizing and analyzing. Categories were stated in terms of perceptions and feelings. The most frequently stated perceptual moments included perceiving client ethnicities based on physical …

Effects Of Family Stress, Family Social Support, And Family Balance On Maternal Adaptation In Post Birth Families, Constance H. Blake Hansen Dnsc, Mn, Rn

Dissertations

The purpose of this study was to describe the effects of perinatal family stress, family social support, and family balance on post birth maternal adaptation. The birth of a new infant is a transitional event that causes stress to the individuals within the family and the family as a unit. The childbearing woman has been identified as the core of the expanding family. Her adaptive level is critical to the integration of the new infant into the family unit. Stress and support are important variables in maternal adaptation, yet the specific relationship of these variables as they relate to the …

The Effects Of Organizational Culture On Quality Of Life For Older Veterans, Michelle Diane Stone

Dissertations

The organizational culture in a Veteran's Administration Medical Center (VAMC) was described using triangulated methods which included both secondary quantitative survey data, and internal documentary data sources. The initial survey data collected, from staff and elder veterans revealed an overall positive perception from both samples regarding the quality of life for elder veterans living on extended care wards. The study investigated the extent to which the VAMC's organizational culture affected these perceptions of quality of life.

Documentary data were collected from a variety of VAMC sources regarding behaviors, ideologies, leadership trends, mechanisms of control, and the formal organizational structure. A …

Factors Associated With Women's Decisions To Obtain Routine Cervical Cancer Screening In A Prepaid Health Care System, Vicki Debaca Dnsc

Dissertations

The focus of this research study was to explore the factors affecting women's decisions to participate in preventive cervical cancer screening using a conceptual model proposed by Cummings, Becker, and Maile (1980). This descriptive-comparative study investigated the effect between the components of this model (age, education level, race, general barriers, psychological barriers, evaluation of health care, threat of illness, knowledge, social network) and the outcome variable of intent to participate in cervical cancer screening examinations. This study also examined whether there were differences in the predictor variables between two groups of women: those that have had a recent Pap examination …

Efficacy Of Addiction Treatment In A Correctional Setting For Female Offenders As Measured By The Addiction Severity Index, Paul Robert Wiese

Dissertations

Problem. This study was designed to determine to what extent improvement following treatment for addiction was evident, and if treatment seemed causative in that outcome, for incarcerated female addicts. This study also explored the question of which treatment modality seemed most effective-- an education-only group, a comprehensive long-term treatment group, or a waiting-list control group. -- Method. The Addiction Severity Index (ASI) furnished scores on seven psychosocial areas for subjects. Hypotheses were tested with paired t tests. The means of the pre- and post-tests for the three groups were compared, as well as between group mean scores. Second, a …

Personal Meaning In The Elderly: A Heideggerian Hermeneutical Phenomenological Study, Diane Heliker

Dissertations

No abstract provided.

Intact Families With A Multiple Sclerotic Parent: Social And Emotional Adjustment Of Parents And School-Age Children, Jean A. Mccutchan

Dissertations

Problem Statement. Research on children with a multiple sclerotic parent has been minimal and until recently focused only on negative aspects. This study investigated how families successfully cope with multiple sclerosis (MS) and how their school-age children are affected, positively or negatively.

Methodology. This research used the case study approach with intact Caucasian families, 10 where the mother was the patient and 3 families where the father was the patient. The 20 children were ages 5 through 19. Following a clinical interview, the family members responded to the Family Adaptability and Cohesion Evaluation Scales-II, the Family Hardiness Index and the …