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Articles 1 - 30 of 99
Full-Text Articles in Medicine and Health Sciences
Parental Grief Responses To Perinatal Loss, Lisa M. Peacock
Parental Grief Responses To Perinatal Loss, Lisa M. Peacock
Masters Theses
An exploratory, descriptive design was used to examine parental grief and coping responses to perinatal loss. Florence Selder's Life Transition Theory (1989) was used as the conceptual fiamework. A survey approach was used for data collection. This included basic demographic questions, the Perinatal Bereavement Scale and the Jalowiec Coping Scale. A convenience sample was obtained, consisting of 24 women and 6 men in northern Michigan communities who had experienced a perinatal loss at some time in the past. Data were collected by an anonymous mailed survey. The results of the study revealed that all parents in this sample did exhibit …
The Use Of Emergency Contraception: College-Age Students' Knowledge And Attitudes, Dollie J. Cadden
The Use Of Emergency Contraception: College-Age Students' Knowledge And Attitudes, Dollie J. Cadden
MSN Research Projects
The emergency contraceptive pill is a method of postcoital contraception. The method, often called the morning after pill, is relatively unknown, both among potential users and some health care providers. Morning after pills are available at the health centers of many universities. Recently, proposals have appeared in the academic and popular press to expand the availability of emergency contraceptive pills. On college campuses, where many students risk becoming pregnant but where few pregnancies are wanted, there may be a considerable unmet need for expanded availability of emergency contraceptive pills. At this time, few studies have documented the prevailing knowledge, attitudes, …
Entry-Level Competencies Needed By Bsns In Acute Healthcare Agencies In Tennessee In The Next Ten Years, Marjorie S. King
Entry-Level Competencies Needed By Bsns In Acute Healthcare Agencies In Tennessee In The Next Ten Years, Marjorie S. King
Electronic Theses and Dissertations
The research focused on the identification of entry-level competencies needed by Bachelor of Science in Nursing (BSN) graduates who will begin employment in acute healthcare agencies in the next 10 years in Tennessee. The purpose of the study was to gain increased awareness of the competencies needed by graduates of BSN programs in Tennessee in order to meet the demands of the acute healthcare agencies, in light of present and anticipated changes in the healthcare delivery system. The opinions of nurse educators, nurse administrators, recently graduated BSNs, and experienced BSN graduates were solicited to assess congruency of perceptions. In addition, …
A Comparison Of The Effects Of Moderate- And High-Carbohydrate Diets On Coronary Heart Disease Risk Factors: A Pilot Study, Margaret Helen Fernandez, Julia Ava Niehaus Soper
A Comparison Of The Effects Of Moderate- And High-Carbohydrate Diets On Coronary Heart Disease Risk Factors: A Pilot Study, Margaret Helen Fernandez, Julia Ava Niehaus Soper
Theses and Dissertations - UTB/UTPA
This pilot study compared the effects of two diets on total cholesterol to high- density lipoprotein cholesterol ratio, body mass index, and waist circumference. A diet of 15% protein, 55% or more carbohydrate, and 30% or less fat was compared to a diet of 30% protein, 40% carbohydrate, and 30% fat. Lipid levels and anthropometric measurements were obtained on 18 adult males with moderately elevated lipid levels before and after 12 weeks of dietary intervention. Analyses showed variances between and within the study groups in the areas of anthropometric measurements and lipid levels; no statistically significant differences between the groups …
Culturally Congruent Care: Predictors Of Patient Satisfaction Among Adult Mexican Americans, Shannon Marie Dowdall, Alma Rosa Flores, Karyn Elizabeth Taplay
Culturally Congruent Care: Predictors Of Patient Satisfaction Among Adult Mexican Americans, Shannon Marie Dowdall, Alma Rosa Flores, Karyn Elizabeth Taplay
Theses and Dissertations - UTB/UTPA
Predictors of patient satisfaction among hospitalized adult Mexican Americans were examined in this pilot study. Acculturation as determined by the Acculturation Rating Scale for Mexican Americans-II (ARSMA-II), ethnicity of the nurse, age, gender, socioeconomic status, level of education and marital status were examined as predictors of patient satisfaction. Patient satisfaction was measured by the Patient Satisfaction Inventory (PSI). The pilot study was conducted in an acute care setting in the lower Rio Grande Valley, where 81 participants provided the data. The questionnaires were offered in both English and Spanish. Two qualitative questions were asked regarding the patients' perception of culturally …
The Differences In Health Beliefs And The Frequency Of Mammograms Among Older Women, Angela E. Hall
The Differences In Health Beliefs And The Frequency Of Mammograms Among Older Women, Angela E. Hall
Master's Projects
Increasing age is the primary risk factor for breast cancer, yet older women underutilize mammography for early detection. The purpose of this study was to explore any differences in perceived benefits, perceived barriers, and physician recommendation rate between older women who do and those who do not follow current mammogram screening guidelines. A convenience sample of women over 65 years old (N = 70), completed the Health Belief Model questionnaire on mammography. The findings indicate a statistical difference in the perceived benefits to mammograms between the two groups (t = 2.72, p = .008). There was no statistical difference in …
Length Of Pregnancy And Birthweight Between Black And White Women, Christine Herdt
Length Of Pregnancy And Birthweight Between Black And White Women, Christine Herdt
Master's Projects
The pregnancies of Black women are complicated by adverse outcomes, such as prematurity and low birthweight, at twice the rate of complications in pregnancies of White women (Taylor, Katz, & Moos, 1995). Early access to and adequate utilization of prenatal care services are essential for successful pregnancy and birth outcomes (Rowley, 1994). The purpose of this study was to determine if there was a difference in length of pregnancy and birthweight between Black and White women at risk for preterm birth in a Preterm Delivery Prevention Program. A chart review of 79 clients enrolled in the Preterm Delivery Prevention Program …
Acts Of Resistance: Nurses' Personal Narratives, Maryanne Garon Dnsc
Acts Of Resistance: Nurses' Personal Narratives, Maryanne Garon Dnsc
Dissertations
Acts of resistance can be expressions of creativity, protest or non-cooperation by oppressed groups. Resistance is seen as always present in the face of domination. Acts of resistance can help us to understand how the powerless mediate power relations, and they can actually give hope to the powerless. This study looked at the issues of power and resistance through critical and feminist perspective. A central concept of feminist theory is that women, and thus nurses as a women's profession, are oppressed. This study looked at female nurses' acts of resistance, which were defined as speaking up or taking action about …
Conceptual Metaphor In The Health Care Culture, Cheryl D. Glennon Dnsc, Ms, Rn
Conceptual Metaphor In The Health Care Culture, Cheryl D. Glennon Dnsc, Ms, Rn
Dissertations
The conceptual metaphor has meaning only when understood within the cultural framework which gives rise to the conceptualization. The purpose of this study was to investigate the interaction of cognition (conceptual metaphor) and culture as manifest during intercultural communication in teaching-learning sessions between health care providers and patients. An ethnography of communication (Hymes, 1974; Saville-Troike, 1989) was the method employed to investigate the use of metaphor by patients, nurses and other health care professionals. Patients were viewed as a sojourner group in the health care culture; nurses and their health care partners were seen as a host group. Data were …
A Comparison Of Practice Patterns Of Nurse Practitioners In Collaborative Practice And Those In Independent Practice Arrangements, Lee Wallace
MSN Research Projects
Nurse practitioners provide health care in a variety of settings, which can be subdivided into two broad categories: collaborative practice, indicating physician and nurse practitioner practice in the same setting, and independent practice, indicating physician preceptor not in the same facility. This study’s purpose was to determine if differences exist in practice patterns of nurse practitioners in collaborative and independent practice. This descriptive, conparative study was guided by the American Nurses Association Social Policy Statement. The setting was the predominately rural state of Mississippi. The sample
Physical Fitness Perceptions And Exercise Participation Of Older Adults, Kristi J. Spruell
Physical Fitness Perceptions And Exercise Participation Of Older Adults, Kristi J. Spruell
MSN Research Projects
The purpose of this descriptive exploratory study was twofold: to determine if older adults are exercising and to examine their perceptions of physical fitness. Nola J. Pender's Health Promotion Model provided the theoretical framework for this study. The following research questions guided the study: (1) Are older adults participating in adequate exercise?; (2) Do older adults perceive themselves as physically fit?; (3) Do older adults perceive motivators to exercise?; and (4) Do older adults perceive barriers to exercise? A convenience sample of 40 adults, ages fifty and above, was obtained from a primary care clinic in a suburban area in …
Diet Adherence Factors Affecting Diabetic Older Adults, Laurie Schluter
Diet Adherence Factors Affecting Diabetic Older Adults, Laurie Schluter
MSN Research Projects
Diabetes is a chronic disease which affects a significant portion of the United States population. Effective management requires adherence to a prescribed dietary regimen. Many diabetics have difficulty adhering to their recommended diet. This descriptive study explored diabetic diet adherence in older adults. The following research question guided the study: What are the factors that affect diabetic diet adherence in older adults? Sr. Callista Roy's adaptation theory provided direction for the study. Thirty two diabetic patients age 45 years and older in Louisiana comprised the sample. The sample included rural and urban patients of a home health agency and a …
Coping Mechanisms Of Older Adults With Diabetic Foot Ulcers, Mary M. Snuggs
Coping Mechanisms Of Older Adults With Diabetic Foot Ulcers, Mary M. Snuggs
MSN Research Projects
Diabetic foot problems are a significant cause of foot and limb amputation (Dorgan, Birke, Moretto, Patout, & Rehm, 1995). Because o f the devastating physical and psychological effects of amputation, aggressive treatment o f diabetic foot problems is warranted to prevent loss o f limb. Promotion o f effective coping is one successful method o f therapeutic treatment. According to nursing theorist Betty Neuman (1995), effective coping with external stressors is imperative for an individual’s health, harmony, and personal integrity. This study was conducted to describe the coping mechanisms o f older adults with diabetic foot ulcers. The research question …
Congestive Heart Failure Clients' Knowledge Level About Self-Care Measures, Phyllis Savage
Congestive Heart Failure Clients' Knowledge Level About Self-Care Measures, Phyllis Savage
MSN Research Projects
Almost 5 million Americans are living with congestive heart failure (CHF) today with over 400,000 new cases diagnosed annually (American Heart Association, 1997; National Heart, Lung, and Blood Institute, 1996; Konstam et al., 1994). Despite medical advances, mortality rates remain high for CHF. Lack of knowledge was cited as a frequent cause of clients' noncompliance with prescribed self-care regimen. Client education has been indicated as beneficial in promoting a better self-understanding of CHF. In order to successfully provide education to CHF clients, health care providers must first be able to assess clients' prior knowledge about the condition. The purpose of …
Factors Influences Adolescents' Choice And Discontinuation Of Depo-Provera, Carey E. Mccarter
Factors Influences Adolescents' Choice And Discontinuation Of Depo-Provera, Carey E. Mccarter
MSN Research Projects
Long-term contraceptives are a needed measure for prevention of unintended pregnancies. Depot medroxyprogesterone acetate (Depo-Provera), a long-term injectable contraceptive, is particularly useful for adolescent women. Despite the widespread use of Depo- Provera, limited data exist in the literature on continuation rates, especially among adolescents. The purpose of this descriptive study was to determine the factors which influence the choice and discontinuation of Depo-Provera among adolescents. The Health Belief Model served as the theoretical framework to guide this study. The convenience sample consisted of adolescent females (N = 14) . The instrument utilized for the collection of data was the McCarter …
Correlation Of Rate Of Compliance To A Prescribed Treatment Regimen With Sense Of Power Experienced By Elders With Type Ii Diabetes Mellitus, Elly Vance
MSN Research Projects
The purpose of this study was to identify the relationship between elderly diabetics' sense of power and their rate of compliance to a prescribed treatment regimen. The researcher hypothesized that there would be no significant correlation between sense of power and rate of compliance to a prescribed treatment regimen. The Health Care Practice Scale - Part A (HCPS-A) and the Health Care Practice Scale- Part B (HCPS-B) were administered to 16 Type II diabetics who were 65 years or older. Statistical analysis using Pearson r^ found no significant relationship ; therefore, the researcher failed to reject the hypothesis. The researcher …
Alternative Health Practices Of Homebound Adults In Northeast Mississippi, Jenny Barnes
Alternative Health Practices Of Homebound Adults In Northeast Mississippi, Jenny Barnes
MSN Research Projects
More people are relying on alternative practices and less conventional therapies for a wide variety of problems. Alternative therapies have gained increasing popularity, recognition, and usage in the past decade. Minimal knowledge exists regarding the alternative health care practices of the essentially homebound population who may be more likely to use alternative forms of health care due to the difficulty in leaving home and in following with certain cultural beliefs and practices. The focus of this descriptive study was to describe the alternative health practices of home health clients and how these practices may effect care in the primary care …
Adolescent Mother-Infant Attachment: Self-Identification Of Problems That May Impede The Process, Desiree Snow
Adolescent Mother-Infant Attachment: Self-Identification Of Problems That May Impede The Process, Desiree Snow
MSN Research Projects
As of 1992, nearly 1 out of every 10 births in the United States was to a single adolescent female (National Center for Health Statistics, 1994). Becoming an adolescent parent is known to elicit significant psychosocial changes. Most adolescents are not capable of accepting all of the responsibilities of the maternal role and the attachment process. The theoretical framework of Erikson's Psychosocial Theory reflects the concept of adolescent parenting constituting a potential crisis situation. The adolescent is torn between self-satisfaction and attending to the needs of the infant, which correlates with role confusion, as explained in the developmental stage of …
Grief Experiences Of Widowed Women Based On Length Of Bereavement, Brenda Shelton
Grief Experiences Of Widowed Women Based On Length Of Bereavement, Brenda Shelton
MSN Research Projects
Death of a spouse is a stressful life event that carries the increased threat of illness developing as a consequence. Spousal loss is a situation that primarily affects women because women usually live longer than men and most wives are younger than their husbands. As widowhood affects more women then men, there is a need for understanding patterns of grief reactions in women. The focus of this descriptive study was to compare the differences in grief experiences of widowed women based on length of bereavement. The purpose of this study was to examine the differences in grief experiences by women …
The Effect Of An Educational Intervention On Adolescents' Knowledge And Attitudes About Violence, Jean E. Szorady
The Effect Of An Educational Intervention On Adolescents' Knowledge And Attitudes About Violence, Jean E. Szorady
MSN Research Projects
Violent injury is among the leading causes of death in adolescents. Adolescents' immaturity and underdeveloped impulse control put them at risk of acting rashly, thus at higher risk for violent injury. This significant public health problem is a preventive objective of Healthy People 2000. The purpose of this study was to examine the effects of an educational intervention on adolescents' knowledge and attitudes about violence. The nurse practitioner in a school or family clinic is in a unique position to intervene with adolescent clients using an educational intervention. Orem's Self-Care Deficit Theory served as the theoretical framework for the research. …
Exercise Prescriptive Practices Of Nurse Practitioners Who Use The Internet, Cindy L. Robertson
Exercise Prescriptive Practices Of Nurse Practitioners Who Use The Internet, Cindy L. Robertson
MSN Research Projects
The purpose of this descriptive study was to determine the exercise prescriptive practices and individual exercise habits of adult, family, and gerontological nurse practitioners who utilize the Internet. Pender's Health Promotion Model provided the theoretical framework for the study. The target population was adult, family, and gerontological nurse practitioners who use the Internet. The first 34 respondents were the nonrandom convenience sample. A researcher-designed home page was placed on-line with the consent form and Modified Auburn Exercise Questionnaire attached. Participants selected responses to the items and submitted the consent form and questionnaire to the e-mail address of the researcher. The …
Testicular Self-Examination Among College-Aged Males, Angela Pruitt Durham
Testicular Self-Examination Among College-Aged Males, Angela Pruitt Durham
MSN Research Projects
Testicular cancer represents the most common cancer of men ages 15 to 35 years, with peak incidence occurring in men between the ages of 20 and 34 yrs. Many men in this age group have a knowledge deficit of testicular cancer and testicular self-examination (TSE), a method for early detection of testicular cancer. A descriptive survey study, using the Health Belief Model as a theoretical framework, was conducted to answer the following two research questions: What is the incidence of TSE in men attending a southeastern state university and what are the factors affecting the practice of TSE? One hundred …
Knowledge And Attitudes About Hiv/Aids In An Adolescent Population, Tracey Hickman
Knowledge And Attitudes About Hiv/Aids In An Adolescent Population, Tracey Hickman
MSN Research Projects
Adolescents are at an increased risk for contracting the human immunodeficiency virus (HIV) as evidenced by increased infection rates and the acquired immunodeficiency syndrome (AIDS) related deaths within this age group. The focus of this study was to assess the knowledge levels and attitudes of adolescents about HIV/AIDS. The theoretical framework that guided this study was Elkind (1993). Elkind (1993) believed that adolescents make decisions on such concepts as the personal fable and imaginary audience regardless of their knowledge level. Two research questions were addressed in this descriptive study : What are the knowledge levels of adolescents about HIV/AIDS? And …
Outcomes Of An Educational Program On The Knowledge Level Of Shaken Baby Syndrome Among Adolescent Babysitters, Mickey White Parks
Outcomes Of An Educational Program On The Knowledge Level Of Shaken Baby Syndrome Among Adolescent Babysitters, Mickey White Parks
MSN Research Projects
Shaken baby syndrome is a form of child abuse that exhibits no external sign of injury. A recent study by Starling, Holden, and Jenny (1995) indicated that approximately 3 0% of the perpetrators were nonparental child caregivers. The purpose of this study was to determine if there were differences in the knowledge level of shaken baby syndrome among adolescent babysitters before and after an educational intervention. The nursing theory. Modeling and Role-Modeling, was used to guide this study. Data were collected from a convenience and network sample consisting of 21 adolescents aged 12 to 17 years who reside in suburban …
Nurse Practitioners’ Developmental Screening And Referral Practices For Children With Developmental Delays, Terri Chisolm Smith
Nurse Practitioners’ Developmental Screening And Referral Practices For Children With Developmental Delays, Terri Chisolm Smith
MSN Research Projects
Children with developmental delays benefit from participation in early intervention programs. Yet many children are not screened for developmental delays, and many children with developmental delays are not referred to early intervention programs. Families depend on their primary health care providers for the detection of developmental delays and information about services available for their children with developmental delays. The primary care nurse practitioner is in an ideal position to screen for delays, provide necessary referrals for services, and assist the families in maximizing their self- care potentials. Orem's self-care deficit theory of nursing served as the theoretical framework for the …
Impact Of A Multidisciplinary Education Class On Knowledge And Health-Promoting Behaviors In Persons With Type 2 Diabetes Mellitus In Rural Mississippi, Carmen Leigh Parks
Impact Of A Multidisciplinary Education Class On Knowledge And Health-Promoting Behaviors In Persons With Type 2 Diabetes Mellitus In Rural Mississippi, Carmen Leigh Parks
MSN Research Projects
Prevalence rates of known diabetes mellitus continue to increase in the United States. However, studies show that people can reduce their risks of long-term complications by maintaining adequate blood sugar control. Good metabolic control, however, can be very difficult for persons with diabetes because it requires knowledge, motivation, lifestyle adjustments, close monitoring, and ongoing support from a health care team. The purpose of this quasi-experimental pretest/posttest study was to determine the impact of a multidisciplinary education class on knowledge and health-promoting behaviors in persons with type 2 diabetes in rural Mississippi. Pender's Health Promotion Model was used as the theoretical …
The Effects Of Personalized Dietary Education On Glycosylated Hemoglobin Levels In Adult Diabetic Patients, Lacey Gentry
The Effects Of Personalized Dietary Education On Glycosylated Hemoglobin Levels In Adult Diabetic Patients, Lacey Gentry
MSN Research Projects
Diabetes mellitus is a complex and multifactorial disease process with numerous debilitating outcomes if improperly managed. This chronic illness requires continuing medical care and education to prevent acute exacerbations and to reduce the risk of long-term complications. The primary manifestation, hyperglycemia, can be the result of various elements. One major cause of hyperglycemia is inappropriate dietary intake which results in detrimental short- and long term effects. A glycosylated hemoglobin measurement can be utilized as a marker in monitoring long-term glycémie control. This quasi-experimental study examined the effect of personalized dietary education on glycosylated hemoglobin levels in adult diabetic patients. The …
The Effects Of Two Teaching Methodologies On Knowledge Of Insulin Administration Practices In An Older Adult Group, Clara D.J. Pieh
The Effects Of Two Teaching Methodologies On Knowledge Of Insulin Administration Practices In An Older Adult Group, Clara D.J. Pieh
MSN Research Projects
Approximately 11 million people are affected with acute and chronic complications of diabetes. An estimated $20 billion is spent annually on the diagnosis and management of diabetes. Client adherence to self-care practice is essential to the control of diabetes. The self-care practice of injecting insulin is imperative for the management of both patients with type 1 and type 2 diabetes. Teaching modalities which effectively increase patient knowledge about insulin administration need to be developed and implemented. Therefore, the purpose of this study was to determine whether individualized instructions or audiovisual instructions increased the knowledge of insulin administration practices in older …
Screening For Domestic Violence By Nurse Practitioners In The Primary Care Setting, Patricia A. Plant
Screening For Domestic Violence By Nurse Practitioners In The Primary Care Setting, Patricia A. Plant
MSN Research Projects
Domestic violence produces major health care problems for women. The prevalence and serious nature of this problem mandates recognition and intervention. Research has demonstrated that health care providers either overlook or fail to recognize or address potential domestic violence issues and situations during health care encounters. This descriptive study was designed to examine the screening practices of nurse practitioners for domestic violence certified and practicing in Louisiana. The theoretical framework for the research was based on the Health Promotion Model (Pender, 1987), which focuses on the integration of health-promoting behavior into lifestyles. The research question for this study was as …
The Relationships Among Health Promoting Behaviors, Perceptions Of Health, And Quality Of Life In Elders With Atrial Fibrillation, Eric W. Smith
The Relationships Among Health Promoting Behaviors, Perceptions Of Health, And Quality Of Life In Elders With Atrial Fibrillation, Eric W. Smith
MSN Research Projects
The purpose of this study was to define health-promoting behaviors, perception of health, and quality of life in elders with atrial fibrillation to develop a basis for development of guidelines for nurse practitioners in practice.