Medicine and Health Sciences Commons^™

The Effect Of Vestibular Stimulation On Expressive Language Of Pre-Schoolers With Down Syndrome, Tiffany Bergo

Masters Theses

Effects of vestibular stimulation, when presented prior to language therapy, on expressive language abilities in pre-school children with Down syndrome were examined. Two subjects participated; one subject completed the study. Vestibular stimulation was therapist- and child-initiated and provided by various types of equipment. The subject's expressive language use (verbal and non-verbal) was videotaped during fifteen minutes of language therapy across a six-week, eleven-session period.

Results of this study indicate that expressive language use increased or improved across many parameters during the vestibular stimulation phase of the study. The subject displayed greatest gains in the use of multiple word utterances and …

Identification And Characterization Of Possible Multiple Binding Sites For ((3)H)8-Oh-Dpat In The Hippocampus, Dawna Lea Evans

Masters Theses

No abstract provided.

Examination Of Community Mental Health Services For Persons With Serious Mental Illness: A Descriptive Study Of 31 Counties In Michigan, Pamela C. Werner

Masters Theses

Thirty-one out of 55 Community Mental Health Boards participated in a survey conducted by the Alliance for the Mentally Ill of Michigan. This study examined a number of variables in the questionnaire using a product-moment correlational analysis.

Results indicated that family and consumer input is modestly correlated with comprehensive service delivery and staff/consumer education and training. Budget and the active number of mentally ill cases had a low correlation with comprehensive service delivery and staff/consumer education and training. Interagency collaboration was modestly correlated with program evaluation, and comprehensive services available to consumers. Weaknesses were noted in the management structure of …

The Effect Of Varying Weightload Intensities On Biceps Curl Technique, Jeffrey C. Gailhouse

Masters Theses

This study described biomechanical deviations from proper biceps curl technique specifically in the shoulder, trunk, body and knee angles, that occurred in response to varying intensities of an individual's 1 RM (repetition maximum). Ten college age males participated in the study. Subjects were required to perform one repetition at 60%, 70%, 80%, 90% and 100% of his 1 RM. The only differentiating factor was the order in which the five intensities were performed. Condition order was randomized to minimize bias. Movement was filmed with a high-speed motion picture camera, digitized and then analyzed with computer software.

The findings indicated that …

Fixed-Ratio Size As A Determinant Of The Development Of Tolerance To Morphine, Mark J. Nickel

Masters Theses

The acute and chronic effects of morphine were examined in pigeons exposed to a multiple schedule with fixed ratio 5, 25, and 125 components. Acute exposure to morphine (0.56-10.0 mg/kg) resulted in rate reductions under each component when the dose was 1 mg/kg or higher. With chronic exposure to 5.6 mg/kg, tolerance to the rate-reducing effects of morphine was evident under each fixed ratio component. The development of tolerance was determined to some extent by fixed-ratio size, a result similar to earlier findings with cocaine.

Assessment Of The Relationship Between Regular Fitness Activity And Sexual Functioning In Women, Joanne Kolean-Burley

Masters Theses

This study assessed differences between female aerobic exercisers and nonexercisers in sexual functioning and arousability. Fourteen exercisers and 6 nonexercisers between the ages of 19 and 52 participated in the study. All subjects were involved in an ongoing sexual relationship with a duration of at least 3 months. Sexual functioning, satisfaction, and arousability were assessed through two self-report measures, the Sexual Interaction Inventory (LoPiccolo & Steger, 1978) and the Sexual Arousability Inventory (Hoon, Hoon, & Wincze, 1976); sexual arousability also was assessed through two extragenital physiological measures during exposure to erotic stimuli under laboratory conditions.

The results indicated that there …

The R Value At Vo2 Max During Maximal Graded Exercise Treadmill Tests Of Coronary Artery Diseased And Nondiseased Subjects, Sherry S. Williams

Masters Theses

This study examined the R value at VO2 max during maximal graded treadmill exercise tests to determine if it was a reliable indicator of VO2 max and could therefore be used as a test termination criterion. The subjects in this study were 160 coronary artery diseased (CAD) patients and 170 nondiseased individuals. Data were collected from existing stress test records. The R value was also analyzed to determine if proportions of diseased and nondiseased subjects were the same. The time it took 100 CAD patients to reach VO2 max and exhaustion once R rose above 1.00 was also examined.

The …

The Effects Of Music Listening And Progressive Muscle Relaxation On The Anxiety Level Of Adjudicated Adolescent Males In A Residential Treatment Setting, Ned David Gladfelter

Masters Theses

The purpose of this study was to determine the effects of music listening and progressive muscle relaxation on the anxiety level of adjudicated adolescent males. Sixty-five delinquent, adolescent males in a residential treatment facility took part in either a music listening treatment, a progressive muscle relaxation treatment (Bernstein & Borkovec, 1973), or a combination of both methods, and the effects of each approach on the self-perceived anxiety level of the subjects were determined.

The State-Trait Anxiety Inventory (Spielberger, 1983) and a Subjective Units of Discomfort Scale were used to measure levels of anxiety. Data gathered from these instruments revealed that …

Effects Of Strengthening The Stabilizing Muscles Of The Hip Joint On Strength Gain Of The Hamstring Group, Tina M. Wilson

Masters Theses

The problem under investigation was to determine if strengthening the abductor and adductor muscle groups of the hip would increase hamstring flexion strength. Forty females from aerobic classes were put into two groups, control and treatment, after being pretested on the Cybex II Dynamometer. The control group participated only in aerobics, while the treatment group participated in the aerobics and treatment program. The treatment consisted of four exercises working abduction and adduction of the thigh with SPRI's Xercise Band.

After six weeks all subjects were posttested on the Cybex II Dynamometer. Both groups had significant increases in hamstring strength. These …

Cognitive Disability Theory As A Basis For Activity Analysis For Elderly Persons With Dementia, Deborah S. Kaeser

Masters Theses

Allen's (1985) Cognitive Disability approach provides a guideline for modifying the cognitive demands of an activity to match the abilities of an individual. Thirty older adults with a mean age of 78.1 years and a diagnosis indicating an irreversible dementia were selected for the study. A counterbalanced design was used to compare the performance of 15 individuals with a Level Three cognitive ability and 15 individuals with a Level Four cognitive ability on two tiling craft activities: one with Level Three cognitive demands and one with Level Four cognitive demands. Analysis of variance indicated a significant interaction between cognitive level …

Preventive Dental Care- Instruction And Contingency Management In The Acquisition And Maintenance Of Oral Hygiene Skills, Sandra K. Kallstrom

Masters Theses

Inadequate oral hygiene is one of the largest problems facing the dental profession to date. It is estimated that 98% of individuals suffer from dental problems associated with neglect. The objective of this study was to develop effective techniques which aided in the acquisition and maintenance of oral hygiene skills. This study compared the effects of instruction and demonstration with contingency management on plaque percentage scores. A between-subjects design was used with one control and three experimental groups. The results indicated that, oral hygiene instruction and demonstration appear to be ineffective in reducing plaque scores. Significant plaque reductions where found …

Faculty And Student Perceptions Of Effective Clinical Teachers: A Replication, Kathleen L. Miller

Masters Theses

Clinical teaching in nursing has been found to be as problematic as it is in other practice-oriented professions. The purpose of this study is to identify student's and faculty's perceptions of effective characteristics of clinical teachers. An anonymous questionnaire was distributed to students and faculty at a university college of nursing in western Michigan to solicit their perceptions. The study data reveal both similarities and differences in their perceptions and raises awareness of how clinical teachers need to be atune with nursing student's learning needs and learning styles. Comparison of this study with the previous studies show a common direction …

The Effect Of Anxiety On Student Nurses' Performance When Administering Intramuscular Or Subcutaneous Injections, Sandra L. Osborne

Masters Theses

The purpose of this study was to determine what the relationship was between levels of trait and state anxiety and performance when giving intramuscular or subcutaneous injections. It was a replication of a study by Megal, Wilken, and Volcek (1987).; In May, 1990, the STAI Form Y-2 was used to assess trait anxiety of 17 students at a community college in the Midwest. State anxiety was measured by using the STAI Form Y-1 immediately before: (1) laboratory performance examinations and (2) giving first injections to clients. Instructors completed Injection Skill Check Lists to measure performance.; Students reported high levels of …

The Relationship Between Locus Of Control, Powerlessness, And Job Satisfaction Among Registered Nurses, Evelyn C. Wirsing

Masters Theses

A cross-sectional descriptive correlational design was used to investigate the following research questions: (a) How much variation in nurses' satisfaction can be predicted from locus of control and powerlessness? and (b) are there statistically significant (p {dollar}<{dollar}.05) differences in job satisfaction among nurses based upon their primary area of practice, highest earned degree, length of employment in current position, and employment status? A random sample of 300 staff nurses from a large acute care teaching hospital was surveyed utilizing a four-part questionnaire. The response rate was 51% (N = 152). Powerlessness accounted for 29% of the variance in job satisfaction scores and locus of control accounted for none of the variation in job satisfaction. Secondly, a weekly significant difference (F(5, 146) = 2.29, p {dollar}<{dollar}.05) in job satisfaction scores existed among clinical specialty groups, however no significant differences in job satisfaction were found for the remaining professional characteristics.

Evaluating Family Caregivers' Ability To Select Appropriate Care Techniques Following Discharge Instructions On Post Traumatic Brain Injury Symptoms, Connie J. Pardee

Masters Theses

Post traumatic brain injury symptoms can be very stressful to family caregivers. This study evaluated family caregivers' ability to select appropriate caregiver actions following discharge instructions on post traumatic brain injury symptoms. Subjects in the control group viewed videotaped discharge instructions on physical symptoms post traumatic brain injury. The experimental group viewed videotaped discharge instructions on physical symptoms, cognitive dysfunction and behavioral changes post traumatic brain injury. Both groups were given a written post test after viewing the videotape. Those who received information on physical symptoms, cognitive dysfunction, and behavioral changes had a higher mean score than those who received …

Evaluation Of Coagulation Studies Drawn From Heparinized Arterial Lines, Lois J. Van Donselaar

Masters Theses

Drawing blood from indwelling heparinized arterial catheters is a common procedure in critical care units. The accuracy of coagulation studies drawn from heparinized arterial lines has been a source of controversy and divergent results of research studies. The discarding of blood to provide an uncontaminated specimen is a concern as a source of infection for health care workers. This study evaluates the accuracy of aPTT results drawn from the Lab-Site pressure tubing system which provides a closed system that eliminates blood discard. Blood was obtained from radial artery catheters connected to the Lab-Site system and compared to specimens obtained simultaneously, …

Parental Coping With A Chronically Ill Child, Shari Jo Allore Bertolone

Masters Theses

The purpose of this study was to determine what coping mechanisms families of chronically ill children indicated they utilized to cope on a daily basis. This study utilized the Coping Health Inventory for Parents (CHIP) to collect data. The CHIP is designed to assess parents perceptions of behaviors they are currently using to manage family life. There are three main coping patterns focused on and it is hypothesized that a balance of these three patterns is essential for a positive outcome. This study found there are certain mothers and fathers who are at risk for not using a balance of …

Hardiness And Adaptation To Hypertension, Marcia L. Smit

Masters Theses

Hardiness, a personality characteristic that is purposed to mediate the stress response and reduce the likelihood of illness, was studied in the context of adaptation to chronic disease. A descriptive correlational design was used to determine whether a positive relationship exists between the presence of hardiness and psychosocial adaptation to hypertension. The sample consisted of 50 individuals 60 years old or older. Data was analyzed using the product moment correlation coefficient, Spearman's Rho, and multiple regression. A moderately weak correlation (r =.39, df = 48, p =.003) between hardiness and adaptation was found. Other significant relationships identified included those between …

Positioning Of High Risk Infants: Effects On Oxygen Utilization, Umbilical Artery Catheter Integrity And Activity, Dawn Zuidgeest-Craft

Masters Theses

In a prospective experimental study, 24 high risk infants over 1,000 grams and under 5 days of age were observed and evaluated for the effects of positioning on the umbilical artery catheter, activity, and oxygen utilization. Infants were positioned right lateral, left lateral, supine and prone, for 2 hours in each position. The purpose of the study was to evaluate whether prone position opposed to other positions increased sleep state behaviors, reduced oxygen need, or created any complication for the umbilical artery catheter. Using a repeated measures design and repeated measures analysis of variance, it was found that positioning prone …

The Relationship Between Attributions And Adjustment Following Myocardial Infarction, Margaret Elizabeth Bowles

Masters Theses

The purpose of this study was to identify if spontaneous attributional search was part of the reaction to a myocardial infarction (MI) and if there were relationships among attributional search, perception of control over attributions, gender and adjustment following MI. Attribution theory provided the framework for this study. A descriptive correlational design was utilized. The convenience sample included twenty male and twenty female subjects hospitalized with a MI. The Multiple Affect Adjective Check List and an attribution questionnaire constructed specifically for this study were administered prior to discharge from the hospital. It was hypothesized that of those subjects that have …

A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema

Masters Theses

The purpose of this descriptive, correlational study was to compare the critical thinking and clinical judgement skills of senior nursing students at two educational levels. A convenience sample of 34 students in the Midwest was obtained during the spring semester before graduation (n = 19 baccalaureate, n = 15 associate). The framework for the study was decision theory. Critical thinking ability was measured by the Watson Glaser Critical Thinking Appraisal. Clinical judgement was determined by the ability to recognize cues, provide nursing diagnosis, interventions and corresponding rationale after viewing five video vignettes produced by Performance Management Services. Demographic data was …

The Health Belief Model And Needle Recapping: A Replication, Rosemary M. Rackow Ham

Masters Theses

The purpose of this study was to examine the knowledge of Universal Precautions, the attitudes and beliefs regarding the risk of AIDS among emergency room and critical care nurses and physicians, and the needle recapping behavior that places them at risk for acquiring HIV infection. The Health Belief Model was the conceptual model.; The sample (n = 80) consisted of nurses (n = 68) and physicians (n = 12) who practice in the emergency room (n = 19) or a critical care unit (n = 61) in a community hospital. They completed a 31 item questionnaire. In addition, needle disposal …

Perceptions Of Patients, Nurses, And Physicians Regarding Nursing As A Profession, Ann R. Robach

Masters Theses

The United States is facing a critical shortage of nurses. A prevailing societal perception of nursing having a subservient role in health care prevents many recruits from choosing this career, despite efforts by nursing leaders to change this perception (Styles, 1988). The purpose of this study was to determine the current perceptions of patients, nurses, and physicians regarding nursing as a profession.; A 20 item modified version of Valiga's View of Nursing Questionnaire was implemented for this study. The subjects included 102 patients, 126 nurses, and 68 physicians who completed the questionnaire in the fall of 1991.; Statistical analysis revealed …

Concerns/Problems Experienced After Discharge From An Acute Care Setting: The Patient's Perspective, Karen R. Peper

Masters Theses

The purpose of this study was to examine the discharge planning process in terms of concerns that patients experience after discharge from an acute care setting. Betty Neuman's Health Care Systems Model was the conceptual framework. Aspects of secondary prevention were used to classify the concerns as either a lack of resources or a reaction to a stressor.; The sample (n = 146) consisted of medical and surgical patients, 18 years or older hospitalized at a community hospital for at least 24 hours.; Data were analyzed descriptively. Data revealed that patients do experience some concerns after discharge. The top four …

The Effects Of Prenatal Breast-Feeding Class On Breast-Feeding Success And Maternal Perception Of The Infant: A Replication, Eileen Grunstra, Susan Rowe

Masters Theses

The purpose of this study was to determine the effectiveness of prenatal breast-feeding education on a mother's perceived success at breast-feeding. This study also looked at the relationship of prenatal breast-feeding education on a mother's perception of her infant. The conceptual framework utilized was the Roy Adaptation Model. Motherhood and breast-feeding involve a change in role, which is why this theory served as a foundation for the study. The method for study was a quasi-experimental design. Subjects in the experimental group attended a prenatal breast-feeding class, those in the control group did not. In addition to a general survey questionnaire, …

What Is The Relationship Between Perceived Job Stress, Job Satisfaction, And Psychological Symptoms Of Critical Care Nurses?, Barbara L. Hooper

Masters Theses

House's Stress Paradigm provided the theoretical framework for this study which examined the relationship between job satisfaction and job stress, and the correlation of job stress with the experience of psychological symptoms in a sample of 32 critical care nurses from an urban midwestern hospital. The Brief Symptom Inventory and Atwood and Hinshaw's Nursing Job Satisfaction and Job Stress Scales were used to measure the variables. A moderately strong correlation (r = {dollar}-{dollar}.63, p =.001) was found between job satisfaction and perceived job stress. No significant relationship was found between perceived job stress and psychological symptoms. These findings suggest that …

Weaning The Long-Term Ventilator Patient: A Nursing Protocol, Karen J. Trudell

Masters Theses

This study evaluated the effects of implementing a standardized nursing protocol on decreasing the length of time it takes the patient to wean from long-term ventilation using an ex post facto comparison group design. The standard nursing protocol is a set of 10 nursing interventions used to standardize the weaning process. A retrospective chart review was performed on 24 patients who were in the intensive care unit of a community teaching medical center, and required long-term ventilation of six days or more. After nine months of implementation of a standard nursing protocol, allowing for the intensive care nurses to become …

Aids: Knowledge And Attitudes Among Nurses, Jeanette J. Lochan

Masters Theses

Reports have indicated that nurses have negative and preconceived attitudes concerning persons with acquired immunodeficiency syndrome (AIDS) and that these biases may interfere with quality care. The purpose of this descriptive correlational study was to identify the relationship between nurses' knowledge about AIDS and their attitudes toward caring for patients who are diagnosed with AIDS and/or who test positive for HIV. Data was gathered by questionnaires from a convenient sample of nurses employed at an area hospital in West Michigan. Of the 500 nurses who received the questionnaire, 208 (41.6%) participated in the study. Knowledge about AIDS was correlated with …

Predictors Of Success On The Nclex-Rn Examination, Kathleen S. Pangle

Masters Theses

This ex post facto study was designed to determine if the scores of advanced standing LPNs' NCLEX-RN scores were significantly different from those of generic students and to identify predictors of success of NCLEX-RN performance. Based on Bandura's theory of self efficacy it was hypothesized that LPNs would score higher on the NCLEX-RN than generic students. The independent variables were final grades in nursing theory courses (Medical-Surgical, Obstetrics, Pediatrics, and Psychiatric Nursing), and NLN Achievement Tests and the Comprehensive Nursing Achievement Test. The study group included 195 graduates from a small, rural Associate Degree in Nursing program between the years …

Comparison Of The Efficacy Of Heparinized And Non-Heparinized Normal Saline Solutions In Maintaining Patency Of Arterial Catheters, Juanita K. Bogart

Masters Theses

Although the need for heparin in flush solutions has not been established, the currently accepted standard of practice is to use heparinized solutions in arterial catheter flush devices. Exposure to heparin may place patients at risk for developing heparin-induced thrombocytopenia (HITP) and subsequent embolic events. The purpose of the study was to test the null hypothesis that there is no significant difference in patency of arterial catheters maintained with heparinized or non-heparinized normal saline solutions. An experimental design using a convenience sample (N = 31) and random assignment into experimental and control groups was used. There was no statistically significant …