Medicine and Health Sciences Commons^™

Identification Of Family Member's Self-Care Knowledge: A Qualitative Study, Bradley S. Corbin

Masters Theses

A Family Adaptive Potential Assessment Tool (FAPAT) based on Modeling and Role-Modeling theory has been developed to assist nurses in their holistic approach to nursing. The purpose of this research was to begin to test one of the propositions on which the FAPAT was based: Families are able to identify what will be helpful for them during a time when they are trying to cope with a significant life event.; Families were generally able to identify what would be helpful. A modified grounded theory approach assisted to identify four themes that emerged under external support and three themes under internal …

Effect Of An Outpatient Educational Program On The Rehabilitation Of Myocardial Infarction Patients, Janice L. Hodges

Masters Theses

The purpose of this study was to answer the following question: Do myocardial infarction patients who attend an outpatient cardiac rehabilitation educational program have a higher level of knowledge and less anxiety than individuals who do not attend such a program? A quasi-experimental design with a nonequivalent comparison group was utilized. The nonprobability convenience sample included individuals hospitalized with a myocardial infarction. Sample size was twenty subjects in each of the two groups. A cognitive knowledge test and Spielberger's State Anxiety Inventory were administered within 48 hours of discharge. The experimental group attended an outpatient cardiac rehabilitation educational program which …

The Relationship Between Spirituality And Depression In Family Caregivers Of The Elderly, Cynthia L. Boland

Masters Theses

The main purpose of this research was to investigate the relationship between spirituality and depression in family caregivers of the elderly. Data for this secondary study came from a caregiver research project conducted by Given and Given (1989). Although the primary study was longitudinal, this study used a cross-sectional, descriptive correlational design. A convenience sample of 191 family caregivers participated. Data on spirituality and depression were obtained by self-administered questionnaires. Spirituality was measured with the Spiritual/Philosophical subscale from the Coping Resources Inventory (Hammer & Marting, 1988). The Center for Epidemiologic Studies Depression Scale (Radloff, 1977) was slightly modified and used …

The Use Of A Three-Layered Air Cushion In Reducing The Incidence Of Pressure Ulcers In The Nursing Home Patient, Ann H. Harris

Masters Theses

The purpose of this investigation was to determine the effectiveness of a pressure relief mattress in reducing the number of pressure ulcers in high risk patients. The research design was experimental with random assignment of subjects who were identified as at risk for developing pressure ulcers into an experimental and control group. Every new admission entering two nursing homes in a Midwestern metropolitan area who met inclusion criteria was assessed using the Braden Scale for his/her risk for developing pressure ulcers. Twelve subjects determined at risk were assessed for skin breakdown for a period of two months, first weekly and …

The Effects Of Aids Education On Knowledge And Health Care Beliefs Of Nursing Students, Catherine Taliaferro Earl

Masters Theses

The purpose of this study was to investigate the effects of AIDS education on knowledge and health care beliefs of nursing students. There were two hypotheses tested. Hypothesis one: nursing students presented with factual information about AIDS have more knowledge about AIDS than nursing students without AIDS instruction. Hypothesis two: strength of health care beliefs related to AIDS susceptibility, seriousness, benefits, barriers, and health motivation of students with AIDS instruction differ from those without AIDS instruction.; The study was conducted using a pretest-posttest quasi-experimental design. The sample included 29 second term nursing students enrolled in the nursing curriculum of an …

The Relationship Between Acculturation Level Of Mexican-American Parents And Coping With Their Chronically Ill Children, Nancy Ellen Tena

Masters Theses

This investigation focused on 19 Mexican-American families with neurologically impaired children to determine to what extent they selected particular coping patterns in relationship to their level of acculturation to the Anglo-American culture. Using the Acculturation Rating Scale for Mexican-Americans (ARSMA), the families were categorized according to acculturation level (low, bicultural, and high). The families identified coping patterns (Family Support, Social Support, and Medical Support) which were helpful to them by completing the Coping Health Inventory for Parents (CHIP). Only one statistically significant relationship between acculturation level of these families and extent of their use of coping patterns was found: high …

The Effect Of Preoperative Exposure On Spouse Anxiety In The I.C.U., Carol J. Gates

Masters Theses

The purpose of this investigation was to answer the question: What is the effect of preoperative exposure of the intensive care unit (I.C.U.) on anxiety levels of spouses of open heart patients? A pretest-posttest experimental design was used to analyze data collected on 50 spouses of open heart patients. The subjects were randomly assigned to either experimental or control groups. State and trait anxiety levels were measured using Spielberger's State-Trait Anxiety Inventory (1983). The experimental group received preoperative I.C.U. exposure in the format of a videotape the evening of surgery and the control group received routine preoperative preparation. T-test, chi-square, …

The Relationship Between Untrained Listener Perceptions And Disordered Voices, Donald S. Finan

Masters Theses

The ability of trained listeners to make judgments of voice quality has been well documented. This study is designed to investigate untrained listeners' ability to make quality judgments of male and female produced normal, breathy, harsh, and hypernasal voice qualities. Research purposes are as follows:

1. To test if untrained listeners tend to reliably assign specific positive or negative descriptive adjectives according to vocal quality.

2. To determine if specific disordered vocal qualities carry more negative rating than others.

A series of actors and actresses were trained to produce the disordered voice qualities of breathy, harsh, and hypernasal according to …

Elements Of Professional Nursing Identified By Nursing Experts, Audrey D. Haag

Masters Theses

The purpose of this study was to identify elements that are necessary in formulating a definition of professional nursing which are in agreement with specified leaders in nursing of the United States of America. This descriptive study used a two round Delphi survey technique. Forty-eight Fellows of the American Academy of Nursing (F.A.A.N.) responded to the survey. Each subject was mailed an introductory letter, a demographic inquiry and a questionnaire containing a list of elements of professional nursing on two occasions. The data generated by the questionnaires were analyzed through descriptive statistics, specifically calculating the percentages for each level of …

The Effects Of Added Purpose On Fine Motor Performance In Learning Disabled Children, Sarah Lynn Austin

Masters Theses

The idea that occupations which offer added levels of purpose elicit a high quality of performance is widely accepted within occupational therapy. In this experiment involving fine motor performance, fifty-three learning disabled children were randomly assigned to two groups. It was hypothesized that children cutting out a circle, presented as a wheel which would complete a paper truck, would cut more accurately than those who cut out the same circle without the suggestion of it being used as a wheel. Accuracy was assessed by measuring the area of the children's cutting errors. The experimental design included the use of a …

An Investigation Of Pitch Perturbation And Vocal Intensity Characteristics Of Stutterers And Nonstutterers, Carmen M. Bamberg

Masters Theses

Pitch and amplitude perturbation values were compared for nine adult stutterers and nine adult nonstutterers. Each subject produced ten sustained phonations of the vowels /a/ and /i/. An automatic pitch-synchronous autocorrelation fundamental frequency tracker was used to extract period and amplitude measures.

Findings revealed that: (a) stutterers had significantly more vocal shimmer than nonstutterers (p = .01), (b) F-ratios for percent jitter between groups approached (p = .07) but did not reach significance, and (c) the vowel /a/ was produced with higher levels of jitter and shimmer than the vowel /i/. Results support the notion that instability of the …

Leisure Satisfaction Of Alcoholics And Cocaine Addicts, Tamera F. Stanback

Masters Theses

A role for occupational therapists is to help substance abuse clients achieve a healthy balance across occupational performance areas, including leisure. The literature suggests that alcoholics have deficits in leisure, but cocaine addicts have not yet been studied systematically in terms of leisure. This study compared twenty alcoholics from two Midwestern in-patient treatments centers to fourteen unmatched cocaine addicts at the same centers in terms of their leisure satisfaction. Then, nine male subjects from each group were matched in terms of age and family status, and t-test comparisons were made once again. The Leisure Satisfaction Scale was used as a …

Continuous Passive Motion After Knee Arthroscopy, Lisa Bauman

Masters Theses

The purpose of the study was to investigate the effect of continuous passive motion (CPM) after arthroscopy. A CPM machine was used one hour following knee surgery. Statistical analysis was performed to determine differences in knee range of motion (ROM), strength and circumference, at time intervals preoperatively, one, seven, and twenty-eight days following surgery. The analysis of variance revealed no significant difference between the CPM and control groups for any parameter. A significant interaction effect between treatment and time was demonstrated one day after surgery for extension, joint line circumference, and midthigh circumference; and 28 days after surgery for the …

Cessation Of Chronic Ethanol Intake Reverses Ultrastructural Alterations In Ileal M Cells, Robert Rosback Eversole

Masters Theses

Membranous (M) cells of the dome epithelium of ileal Peyer's patches have been shown to serve an antigen uptake function for mucosa associated lymphoid tissue. Hypergammaglobulinemia is a frequent accompaniment of chronic alcoholism in humans and the elevated antibody titers have been shown to be due in part to bacterial and dietary proteins. This study was conducted to demonstrate the morphological changes induced by chronic ethanol exposure in the ileal M cells in the rat.

Chronic ingestion of ethanol produces marked changes in the ultrastructure of M cells. All experimental animals showed distinct mitochondrial swelling with loss of matrix density, …

Aids Prevention Through Printed Media: Knowledge And Communication Behaviors Of Gay College-Aged Males, Cheryl L. Knight

Masters Theses

AIDS prevention research has established the effectiveness of multiple component group interventions. It has not identified whether the effectiveness is due to the format of the intervention (i.e., rehearsal, feedback, etc.) or its instructional content. This study investigates the impact of instructional content delivered in the inexpensive and readily obtained printed medium. Thirteen gay or bisexual college-aged men received an information pamphlet and an AIDS-related communication skills training booklet. Subjects were evaluated on measures of knowledge, safe and risky behaviors, and communication behaviors in each of three assessment sessions. Visual analyses and repeated measures analyses of variance did not support …

Psychophysiological Assessment Of Panic Disorder, Kent A. Koehn

Masters Theses

This study compared physiological and psychological measures between 9 subjects meeting the DSM-III-R criteria for panic disorder (PD) and 9 control subjects to identify psychophysiological differences that might be relevant to the etiology and maintenance of panic attacks. The subjects were assessed through a number of self-report measures and across three laboratory sessions involving five experimental conditions: baseline, role play, relaxation, mental arithmetic, and cold pressor. We measured electrodermal (EDG) and electro-myographic activity (EMG), heart rate (HR), and blood volume pulse (BVP) in terms of absolute values, reactivity, and habituation. Both groups were also assessed in their ability to accurately …

Reliability And Validity Of The Body Mechanics Obstacle Course Evaluation, Louise Sinclair-Eastman

Masters Theses

A review of the literature suggests that the way in which an individual performs activities, or body mechanics, can affect the amount of stress placed on the low back. Several clinical programs treat patients with low back pain by teaching proper body mechanics. Although body mechanics obstacle course evaluations are used by occupational therapists to assess patients, there has been no published information regarding the reliability and validity of these evaluations. The purpose of this study was to establish the validity and reliability of one version, the Body Mechanics Obstacle Course (BMOC).

Content validity was established by reviewing the literature …

The Use Of Musical Wind Instruments As An Expiratory Therapy With Chronic Obstructive Pulmonary Disease Patients, Ellen R. Griggs Drane

Masters Theses

The use of musical wind instruments as an expiratory therapy with Chronic Obstructive Pulmonary Disease (COPD) patients was compared to the traditional inspiratory treatment of the Inspiratory Muscle Trainer (IMT) during a twelve week pre - posttest study. Sixteen subjects, attending an out patient respiratory rehabilitation program, were randomly assigned to either the experimental group, receiving musical wind instruments, or the control group, receiving the IMT.

Measures for the study were: Forced Expiratory Volume in one second (FEV1) and Forced Vital Capacity (FVC) as measured by the Pulmonary Function Test; physical endurance measured by the Twelve Minute Walk Endurance Test; …

Smoking Cessation In Relapsed Smokers: A Competing Schedules Approach, Catherine E. Ellis

Masters Theses

Recent research in cigarette smoking reveals that social support and reinforcing alternative behaviors to smoking may be instrumental for sustained abstinence. This study examined the efficacy of these approaches with a group of relapsed smokers. Subjects were fifteen male and female Southwestern Michigan residents between the ages of 22-48. Both the treatment and control group attended two initial smoke-stopping sessions. The independent variable was a relapse-prevention package administered to the treatment group over the third through seventh sessions. Dependent variables were Carbon Monoxide (CO) levels, Saliva Thiocyanate (SCN) levels, and the daily number of cigarettes smoked. A two-way analysis of …

Rating Of Perceived Exertion Of Four Swimming Strokes At A Constant Intensity, Betty Lou Hall

Masters Theses

No abstract provided.

Cardiac Rehabilitation: Client's Perceived Adequacy Of Education Related To Adjustments Following Myocardial Infarction, Mary E. Flikkema

Masters Theses

Heart disease significantly impacts the lifestyles of clients. Psychosocial difficulties such as anxiety, depression, marital and family conflict are documented in the literature. Various methods and aspects of adjustment have been studied to assist the client with adaptation to changes in exercise, diet, weight reduction and smoking.; This descriptive study used a correlational design to investigate the relationship between the client's perceived adequacy of cardiac rehabilitative education with postdischarge fears and adjustments. Thirty clients participating in a cardiac rehabilitation program completed a self report questionnaire regarding level of preparedness in the areas of exercise, diet, work/activity, sexual functioning, and social …

Facilitating The Nursing Process For The Nursing Diagnosis "Alteration In Thought Processes", Meridell Veen

Masters Theses

The purpose of this study was to determine if nurses who were given a tool to facilitate assessment of thought processes would collect more assessment data, diagnose "alteration in thought processes" more frequently, and include a care plan for this diagnosis more often. A quasi-experimental pre-treatment/post-treatment design was used. An inservice program about the Level of Cognitive Function Scale (LOCF) was the treatment.; Of the 40 randomly selected subjects from the 199 adult critical care nurses at a metropolitan hospital, 20 completed the study with pre-treatment and post-treatment data. Data were collected by scoring patient assessment/care plans pre-treatment and 4 …

Showering In Labor: An Effective Pain Management Alternative, Kathleen A. Austin

Masters Theses

Health care professionals continue to be concerned about the relief of pain and anxiety associated with childbirth. There are recent anecdotal reports in the literature which describe showering as an effective nonpharmaceutical alternative for labor pain management. The effectiveness of showering can most likely be explained physiologically by the "gate control" theory of pain.; The purpose of this descriptive-correlational study was to examine the labor patient's perception of the effectiveness of showering as a comfort measure and the relationship between showering in labor and outcome variables such as analgesia use, anesthesia use, and childbirth satisfaction. After approval by appropriate human …

Staff Nurse Identification Of Nursing Diagnosis From A Written Case Study, Sharon Etheridge

Masters Theses

A descriptive study was conducted to determine how well medical-surgical and critical care staff nurses identified the same nursing diagnoses and defining characteristics from a written case study. A convenience sample of 83 staff nurses from four acute care institutions participated in the study.; Of the total diagnostic statements made, 42.9% were the same as those identified by experts in the case study. Three nurses (3.6%) correctly identified all five nursing diagnoses in the written case study. An additional seven (8.4%) nurses correctly identified four of the nursing diagnoses. The demographic characteristics of these nurses were varied. No statistical relationship …

Needs Of Families Of Adult Cardiac Surgery Patients During The Intensive Care Stay, Michael L. Williams

Masters Theses

The purposes of this research were to identify needs of family of adult cardiac surgery patients during the intensive care stay, by whom these needs were met, and to identify demographic variables that were associated with identified family needs. Thirty-one families of adult cardiac surgery patients ranked 45 need statements using the Critical Care Family Needs Inventory. The need to have questions answered honestly was identified as the most important need by the families in this study. Nurses were identified as the person who met most of the needs of the families. Some significant differences in needs between spouses and …

Relationship Between Actual And Perceived Physical Fitness In College Students, Barbara A. Barry

Masters Theses

No abstract provided.

Effects Of Methylxanthines On Newborn Rat Respiration, Craig Gatto

Masters Theses

Methylxanthines (MX), such as theophylline, are commonly used in the treatment of recurrent apnea due to their stimulant effects on the respiratory center. Structure-activity studies have demonstrated that substitution of alkyl groups on the 3-position of the xanthine nucleus results in increased bronchodilator potency, while substitution on the 1-position is important for adenosine antagonism and CNS stimulation. Three different alkylxanthines were studied to determine the structural requirements for respiratory stimulation. Respiratory rates and volumes were determined in 4- to 7-day-old rats using a volume displacement body plethysmograph. Measurements were made before and at 5 minute intervals after subcutaneous (s.c.) injection …

Perceptions Of Registered Nurses Toward Two Patient Classification Systems, Sarah J. Follen

Masters Theses

Patient classification systems provide a means of delineating nursing activities that a patient requires. The majority of patient classification systems consist primarily of delegated services or functional tasks. Two other areas of nursing care, independent and interdependent services, are not a part of most workload measurement systems.; Two patient classification systems were developed for this study. One was designed using primarily delegated services, and the second designed according to the Clinical Practice Model of Nursing (Wesorick, 1988) and consisted of independent, interdependent, and delegated services. The researcher studied how registered nurses perceived each instrument: how acceptable was each instrument to …

Muscle Stress And The Use Of Body Mechanics, Kathleen Ann Keeler

Masters Theses

The purpose of this study was to examine the amount of lower back muscle stress produced during lifting tasks, using variations in weight and postures. Electromyographic activity of the erector spinae muscles at the L4-5 vertebral level was measured.

Thirty healthy female subjects participated in the study. Each subject lifted loads of two given weights using both the stooped and squat lifting postures. Electromyographic activity was recorded and averaged throughout each lift.

Results indicated that increased weight resulted in increased stress on the erector spinae muscles, regardless of posture. The squat lifting posture was found to be more stressful on …

Pentylenetetrazol-Induced Seizures In Pigeons And The Effects Of Ethosuximide Thereon, James J. Jakubow

Masters Theses

Previous research has shown that ethosuximide in high enough doses will disrupt operant responding in pigeons. Whether or not these same doses will protect against seizure activity in this species has not been previously tested.

To test this question a system for scoring pentylenetetrazol-induced seizures in pigeons was developed and the effects of ethosuximide on such seizures were evaluated. In Experiment 1 pentylenetetrazol at 15, 27 and 47 mg/kg reliably induced seizures. In Experiment 2 non-behaviorally active and behaviorally active doses of ethosuximide were tested for their seizure controlling effectiveness.

Doses of 20, 40, 80, 160 and 320 mg/kg ethosuximide …