Medicine and Health Sciences Commons^™

Stress, Coping, Adaptation, And Family Hardiness In Families With An Adult Child Who Is Developmentally Disabled And Living In The Parental Home, Joan M. Vansolkema

Masters Theses

Families who successfully cope and adapt to having a child with a developmental disability are of interest to health professionals. The Typology Model of Adjustment and Adaptation and family hardiness provided the conceptual framework to explore and describe the relationships between family hardiness and family coping and adaptation. Sixty-three families returned a mailed survey that included the Family Hardiness Index, Coping Health Inventory for Parents, and Family Adaptability and Cohesion Evaluation Scales II. Higher levels of family hardiness were associated with better family coping and adaptation. Results of ANOVAs and multiple regression indicate the level of mental retardation of the …

Social Support And Well-Being In Early And Mid-Adolescents: The Mediating Role Of Hopefulness, Peggy S. Norman

Masters Theses

Adolescence is known to be a time of transition and special needs. A descriptive correlational study was conducted to examine the impact of hopefulness upon the relationship between perceived social support and general well-being in early and mid-adolescents in a convenience sample of 61 early adolescents and 54 mid-adolescents. The Hopefulness Scale for Adolescents, the Adolescent General Well-Being Questionnaire and the Personal Resource Questionnaire Part II were completed by the subjects of a rural, Midwest, high school health class.

The hypothesized and assumed positive relationships between the three variables of perceived social support, hopefulness, and general well-being were supported. Hopefulness …

Humor And Its Relationship To Cohesion Of Work Group Members In The Acute Care Setting, Marla J. Niedzwiecki

Masters Theses

The purpose of this study was to determine whether the relationship between the use of humor and cohesion of work groups. It was hypothesized that individuals with a high value and use of humor to cope would have a tendency to use humor with others. Additionally, groups with more members who value and use humor to cope would exhibit more group cohesion than groups consisting of members with minimal or no humor use. A descriptive correlational design was used. A convenience sample of hospital based staff nurses was studied. The participants completed three surveys measuring individuals’ use of humor to …

The Relationship Between Level Of Knowledge And Instruction On Sublingual Nitroglycerin Use In Cardiac Patients, Nancy Jean Rogers

Masters Theses

The purpose of this study was to investigate patients’ level of knowledge of the use of sublingual Nitroglycerin (SL NTG) after receiving individually tailored pre-discharge instructions. The study tested the following hypothesis. There will be a difference in the knowledge level between patients who receive the usual SL NTG hospital teaching and those who receive individually tailored and structured SL NTG teaching. The study utilized a pretest-posttest comparison group design with a convenience sample of 40 patients admitted to a rural 368 bed hospital. Knowledge levels were not significantly higher for those in the intervention group than for those in …

Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Vince Worthington

Masters Theses

The purpose o f this study was to examine the relationship between health beliefs and adherence to cardiac exercise at eighteen to twenty four months post cardiac event. Ninety subjects participated in a study by Foster (1995) and McGinn (1995), examining the relationship of health beliefs and adherence to cardiac exercise six to eight weeks post cardiac event. This study contacted the same sample at eighteen to twenty four months post cardiac event. Thirty five subjects responded to a mailed questionnaire measuring perceived benefits, perceived barriers, self-efficacy, adherence to exercise, and demographic information.

Descriptive analysis of the data was conducted …

The Relationship Between The Timing Of Self-Care Information And Adjustment To Ostomy Surgery, Carol Irene Teneyck

Masters Theses

The purpose of this study was to explore the relationship between the timing of self-care information and a person's adjustment to ostomy surgery. A retrospective, descriptive, correlational approach was used. Information from 57 subjects was obtained by using Quality Assurance Questionnaires from the archived files of an Enterostomal Therapy (ET) Nurse Service in West Michigan. Data from these questionnaires were analyzed using the Statistical Package for Social Sciences (SPSS/PC+) software.

Analysis by linear regression indicated that timing of self-care information is a predictor of adjustment to ostomy surgery. Further analysis of variance after collapsing the groups of respondents indicated a …

The Relationship Between Organizational Climate In The Hospital And Rn Satisfaction, Dawn R. Shoemaker

Masters Theses

The purpose of this study was to explore the relationship of organizational climate in the hospital and RN satisfaction. This study examines the hospital work climate and how it affects the level of quality of care, cost-efficiency, and job satisfaction. A meta-analysis (Irvine & Evans, 1995) with Maslowian underpinnings as the basis of the conceptual framework of job satisfaction and organizational climate was used in this study. A secondary analysis was preformed on previously obtained data from a large scale database (n=330 registered nurses). This descriptive correlational study utilized two main instruments, both of which were modified for this study; …

The Effects Of Sex Guilt And Communication On Condom Use, Renée M. Souva

Masters Theses

The purpose of this study was to determine whether sex guilt and communication were related to condom use. Past research has examined variables that affect condom use and has found that individuals who communicate more about sexual matters, and individuals who have low sex guilt, have been found to use condoms/contraceptives more consistently. This study examined sex guilt and communication and how they predict condom use. The participants were 80 female undergraduates recruited from psychology classes at Eastern Illinois University. Mosher's revised Sex Guilt Inventory and Catania's Health Protective Communication Scale were administered along with a question that assessed condom …

Nurse-Physician Collaboration And Nurse Satisfaction, Michelle R. Troseth

Masters Theses

The purpose of this study was two-fold: (a) to describe nurses' perception of collaborative practice behaviors with physicians in a 529 bed mid-western acute care hospital setting and to relate those findings to nurses' satisfaction, and (b) to describe the perceptions of collaborative practice behaviors reported by physicians.

The study was a cross-sectional descriptive correlational design. The convenience sample included 264 nurses, 72 staff physicians and 22 medical residents in a sample setting of medical-surgical, critical care, pediatrics, women's health services, emergency, and surgical services departments. The study used the Collaborative Practice Scales (CPS) to measure nurse and physician perceptions …

The Effect Of Cancer Diagnosis Information On The Anxiety Of Patients With An Initial Diagnosis Of First Cancer, Kim S. Allen

Masters Theses

The purpose of this study was to examine the effect of differing educational programs on state anxiety of patients with an initial diagnosis of first cancer. The Neuman Systems Model was used as the conceptual framework. The convenience sample included 40 patients in an outpatient chemotherapy clinic. The control group (n=21) received the standard cancer education, the experimental group (n=19) received additional cancer diagnosis information. The dependent variable, state anxiety, was measured using the Spielberger State-Trait Anxiety Inventory. Two-way ANCOVA demonstrated that, after controlling for pre-test trait and state anxiety, the experimental group who received additional cancer diagnosis information had …

Nursing Students' Perceptions Of Clinical Instructor Behaviors That Affect The Development Of Self-Confidence, Debra E. Veltkamp

Masters Theses

The purpose of this study was to determine clinical instructor behaviors that students perceive as important in promoting or hindering their development of self-confidence. One hundred fifty-eight associate degree and baccalaureate nursing students rated 21 clinical teaching behaviors on the degree each helped or hindered their self-confidence as nurses and responded to two open-ended questions by identifying additional behaviors. Factor analysis of these behaviors revealed six dimensions of clinical teaching that characterized the instructor as: encourager, evaluator, discourager, enabler, benevolent presence, and resource. All behaviors contributing to the dimensions of clinical instructor were rated by students as helpful in their …

The Relationship Of Hamstring Length And Chronic Low Back Pain, Aaron Deline, David Doubblestein

Masters Theses

Low back pain (LBP) is one of the most complex dysfunctions facing physical therapists today. There has been some research on the correlation between decreased hamstring length and LBP, but the results have been inconclusive. The purpose of this study was to determine if there is a direct correlation between decreased hamstring length and chronic LBP among males and females aged 20 - 60 years who are non-manual laborers.

Based on responses to a questionnaire thirty-nine volunteer subjects were placed into either the no LBP group or the chronic LBP group. The subjects were then tested bilaterally for hamstring muscle …

Perceived Sources And Level Of Stress Experienced By Student Nurses In Associate And Baccalaureate Degree Programs, Lori J. Kane

Masters Theses

This study examined possible differences in levels of stress and perceived sources of stress in student nurses attending associate degree programs and baccalaureate degree programs. A combination of Lazarus' theory of cognitive appraisal with Roy's Adaptation Model provided the conceptual framework. One hundred and sixteen students from a public university, two private Christian colleges and two community colleges participated in the study. The Student Stress and Coping Inventory (SSCI) questionnaire was used to measure stressful situations and/or experiences from students beginning the second semester of their first year in the nursing program. Reliability of the questionnaire was established at 0.91. …

Importance And Fulfillment Of Family Needs In The Icu, Linda L. Baker

Masters Theses

The family is a major source of support for the intensive care patient. To provide optimal support to the patient the family’s needs must be met. A convenience sample of thirty family members of intensive care patients were interviewed. The continuing importance of primary needs established in previous studies was demonstrated. None of the needs were universally perceived as being fulfilled. The nurse was most often cited as the best person to meet needs. Many respondents couldn’t choose a single best person emphasizing the need for a multi disciplinary approach to meeting needs. Seven additional needs were identified (a) to …

The Relationship Between Self-Care Agency, Self-Efficacy, And Medication Management Behaviors In Chronically Ill Elderly Home-Bound Individuals, Elaine J. Lince

Masters Theses

The purpose of this study was to examine the relationship between the exercise of self-care agency, long-term medication self-efficacy and medication management in elderly, chronically ill home-bound individuals. The study seeks to answer the following hypotheses: (1) There is a positive relationship between level of self-care agency and level of medication management in elderly, chronically ill home-bound individuals; (2) Level of long-term medication behavior self-efficacy is a predictor of level of medication management in chronically 01, elderly, home-bound individuals. The study sought to answer the following question: What is the degree of variability in level of medication management that is …

Gender Differences In Reported Quality Of Life In Cardiac Rehabilitation Patients, Susan M. Flynn

Masters Theses

The purpose of this study was to explore the differences in the way men and women experience their cardiac problems, rehabilitation programs, and the resulting quality of life. A descriptive two group research design was utilized. A convenience sample produced 35 participants, 20 men and 15 women. At the participant’s first or second cardiac rehabilitation session, a pretest on quality of life was given. Posttesting was done at 5-8 weeks later. It was hypothesized that the women would have lower quality of life scores than the men. This was not supported in a data analysis using an analysis of covariance. …

An Investigation Of Psychological Distress And Self-Destructive Behavior In Adult Victims Of Childhood Sexual Abuse, Susan Christine Wood

Masters Theses

The purpose of this study is to determine the differences in psychological distress exhibited between adult victims and non-victims of childhood sexual abuse, both of which are acting out in a self-destructive manner.

This study investigates the damaging effects that childhood sexual abuse has on its adult victims. The Brief Symptom Inventory (ESI) was used to measure current psychological symptom status and is designed to detect internal distress, often not visible externally. Childhood sexual abuse produces an hyperarousal state which overwhelms the limbic system, leading to developmental dysfunction and restricted cognition. Due to the dysfunctional development produced by childhood sexual …

Addressing Spirituality In Occupational Therapy Treatment, Barbara R. Howe

Masters Theses

Literature review identified confusion in the definitions of spirituality with religion. However, there have been attempts to separate the two definitions by professionals who consider holism an important concept of clinical practice. This · study was designed to identify occupational therapists' definitions of spirituality in clinical practice. Also under investigation was the therapist's assessment and use of spirituality for treatment purposes.

A survey was sent to a random sample of occupational therapists in order to gather data about their spiritual activities, their personal definitions of spirituality and their use of spirituality in evaluation and treatment of clients.

Occupational therapists who …

Pain Levels And Rating Of Perceived Exertion Of People With Herniated Lumbar Disc While Walking In Two Environments, Brenda L. Cunningham-Boerger

Masters Theses

The purpose of the study was to investigate if walking in water is an effective substitute for walking on land as an aerobic exercise for people with herniated lumbar disc. The study involved the dependent variables o f perceived pain levels (PPL) and ratings o f perceived exertion (RPE). Independent variables were walking condition and work intensity. Land walking was performed on a treadmill; water walking was performed in an indoor pool 4.5 ft deep and 90*F. Work was set at four different intensities, based on the formula for predicting maximum heart rate (MHR), 220 minus age. The graded work …

Differences In The Self-Talk Of Students With Language Impairments When Completing Math Computation And Story Problems, Jennifer Shepard Crouse

Masters Theses

This study was designed to analyze the differences in the self-talk of students with language impairments when compared with students with normal language. Nine fifth grade students with language impairments and nine fifth grade students with normal language, identified by their teachers as average-achieving, participated in this study. Participants were instructed to use a think-aloud technique while completing sets of computational and math story problems. Resulting samples of self-talk were transcribed and coded.

Results indicated several significant differences in the self-talk of students with language impairments when compared with their normal language peers. In regard to quantitative aspects of self-talk, …

An Inquiry: The Concept And Application Of Empowerment, Pamela Kay Wheelock

Masters Theses

While empowerment is a dominant concern in mental health care, services often reflect the inadequate use of an empowerment-based frame of reference. This study seeks to enlarge the understanding of empowerment so that more effective services can be established.

Using naturalistic inquiry methodology, this study explores the lived experience of empowerment through direct dialogue with both mental health consumer advocates and mental health occupational therapists. Data were collected and evaluated using a hermeneutic dialectic process. A series of three interviews were done with six respondents.

Analysis of the interviews revealed striking contrasts between the therapists' and advocates' perspectives in relation …

A Validation Of Target Heartrate Formulas Used In Swimming, Tasha Kay Litwinski

Masters Theses

The purpose of this study was to explore whether procedures used to establish target heart rates (THRs) for running are applicable to front crawl swimming. Eight male and 22 female fitness swimmers from Western Michigan University participated in this study. Their exercise durations under three experimental conditions were compared. The conditions were: (a) Condition 1, a treadmill run at an intensity equal to a THR of 85% of heart rate reserve (HRR); (b) Condition 2, a front crawl swim at an intensity equal to 85% of HRR; and (c) Condition 3, a front crawl swim at an intensity equal to …

Pre- And Post-Operative Comparison Of Kinematic Data In Ambulatory Patients With Cerebral Palsy, Douglas A. Miller, Matthew J. Vanderkooi

Masters Theses

Computerized three-dimensional gait analysis effectively supplements clinical examination by objectively assessing dynamic gait abnormalities and surgical outcomes. The purpose of this research was to assess the ambulatory outcomes of corrective surgery performed on children with spastic cerebral palsy by comparing pre- and post-operative kinematic data. It was hypothesized that post-operative data would be significantly improved compared to pre-operative values. Clinical examination and computerized gait analysis were performed pre-operatively and six to eighteen months following corrective surgery. Gait analysis included video taping of gait and recording of three-dimensional joint motion, synchronized force plate, and dynamic EMG data. The three patients (average …

Parental Knowledge Of Effective Parent-Infant Communication, Jana J. Sweeney

Masters Theses

Parental knowledge of parent-infant interaction and effective communication techniques was investigated to determine what parents know about parent-infant interaction and communication, to determine who provided them with the information, to determine if more information should be available, and to determine who should serve source of information to parents regarding as the primary parent/child communication. The study also examined the potentially crucial role of the speech-language pathologist in providing education. A questionnaire and survey was developed and completed by 27 parents in two-parent homes to provide a data base for the study. Results of the survey indicated that parents are not …

The Relationship Between Spirituality And Depression In Family Caregivers Of The Elderly, Mary Jean Chappel

Masters Theses

The purpose of this study was to examine the relationship between spirituality and depression in family caregivers of the elderly. This study sought to test the following hypothesis: The level of spirituality will be negatively correlated with the level of depression for family caregivers of the elderly. A descriptive, correlational design utilizing Neuman's wholistic system theory was used with a convenience sample of 44 family caregivers aged between 32 and 88 years. Self-reporting questionnaires were mailed to clients (identified as caregivers) of a home care agency, a caregiver respite program, and a Parkinson's support group all providing services in Northern …

Nurses' Perceptions Of The Profession Of Physical Therapy In The Inpatient Setting, Sharon Vanmullekom, Joanne Childs

Masters Theses

The purpose of this study was to investigate the interprofessional relationship that exists between nurses (RNs) and physical therapists (PTs) as perceived by RNs in the inpatient setting. A questionnaire, the Interprofessional Perception Scale, (Ducanis & Golin 1978) was modified and sent to 230 day shift nurses who have contact with PTs at four West Michigan hospitals. Forty-five percent of the surveys were returned. RNs responded to the following questions regarding the nursing and physical therapy professions: how would you answer; how would PTs answer, and how would PTs say that you answered, for 15 interprofessional issues. Differences between how …

Relationships Among Role Strain, Hardiness, And Academic Achievement, Evelyn Clare Rutlin

Masters Theses

The purpose of this study was to determine the relative importance of role strain versus that of hardiness in predicting academic achievement in first semester female ADN students. A convenience sample of 61 students from Lake Michigan College in Benton Harbor, Michigan, participated in the study.; The Lengacher Role Strain Inventory and the Cognitive Hardiness Scale were used to assess role strain and hardiness. Academic achievement was determined by the grade received in the nursing fundamentals course.; Correlation coefficients were used to determine correlation among the variables. Multiple regression analysis was used to explain the variance. Neither role strain nor …

The Detection And Reporting Of Elder Abuse And Neglect: A Training Video For Prehospital Personnel, Jason P. Seamon

Masters Theses

The Emergency Medicine Residency Program at Butterworth Hospital in Grand Rapids, Michigan developed an instructional video for prehospital personnel in hopes of broadening their awareness about elder abuse and neglect. A sample of 60 EMS personnel were asked to complete a pretest in order to assess current knowledge of the subject matter, view the educational video, and then complete the posttest. This session was used to evaluate the video as a potential training device. While the study population reported seeing 256 suspected cases of abuse or neglect in their careers, only 11 (4%) were reported. Furthermore, 60% of the respondents …

A Comparison Study Of Emergency And Medical/Surgical Registered Nurses' Understanding Of Pain And Its Management, Jo A. Oborski

Masters Theses

This replication study was designed to compare emergency and medical/surgical registered nurses' actual and perceived knowledge of the pharmacological and nonpharmacological aspects of pain and its management. A modification of the original tool that consisted of a combination of multiple choice, short answer and open-ended questions was utilized. A convenience sample representing beginner and expert medical/surgical and emergency nurses was obtained.; No difference was found between specialty or experience and current pain knowledge. All participants functioned at a similar level. Participants were unable to describe basic terms related to current pain theory and therapy. The only significant difference identified between …

Analysis Of The Relationship Between Initial Neurological Status And Adaptation Following Traumatic Brain Injury, Margaret D. Carriker

Masters Theses

Trauma is a major cause of death and disability in the United States. Approximately 4% of victims incur life-long debilitating alterations in physical and personal integrity. The purpose of this study was to determine the relationship between initial neurological status following traumatic brain injury and adaptation. The study used a retrospective single group repeated measures design. Subjects were patients admitted to an acute care rehabilitation program and completed in patient and outpatient rehabilitation regimes (N=49). All had traumatic brain injuries with Glasgow Coma Scale Scores documented on admission to acute inpatient hospitalization. The Glasgow Coma Scale was used to assess …