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Articles 601 - 624 of 624
Full-Text Articles in Medicine and Health Sciences
Baccalaureate Reentry Students: Effects Of Professional Support On Role Conflict And Role Transition, Ruth N. Grendell Dnsc, Msn, Rn
Baccalaureate Reentry Students: Effects Of Professional Support On Role Conflict And Role Transition, Ruth N. Grendell Dnsc, Msn, Rn
Dissertations
An increasing number of registered nurses and other health care providers are entering upper division academic nursing programs to obtain the baccalaureate nursing degree. A path analytic model was developed to examine the interrelationships of multiple roles and focal role commitments, previous education, work experience, and role conflicts perceived by reentry adult students, and the influence of professional support in the subsequent transition to the professional role. Group differences between Registered Nurses (RNs) and military corpsmen were also investigated for the variables of importance. A sample of 206 RNs and 37 U.S. Navy corpsmen (from a current population of 96) …
Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn
Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn
Dissertations
This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …
Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn
Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn
Dissertations
Identification of factors that influence obese adolescents' health behaviors is necessary if obese adolescents are to benefit from therapeutic interventions. The purpose of this descriptive-correlational study was to identify the relationships between selected basic conditioning factors (BCFs)--perceived health status (PHS), perceived self-efficacy (PSE), family satisfaction (FS), and life events (LE)--and the self-care agency (SCA) and self-care practices (SCP) among obese adolescents. The relative predictive strength of each BCF in relation to the outcome variables was also explored. Orem's self-care theory provided the conceptual framework for this study. The convenience sample of 100 obese adolescents included campers from two southern California …
Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc
Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc
Dissertations
Within a stress-coping-adaptation framework, a path analytic model was hypothesized to explain the interrelationships among the variables of gender, age, duration of illness, steroid dosage, social support, perceived health status limitations, and coping skills, and their subsequent effect on body image appraisal in the population of subjects undergoing treatment for a malignant brain tumor. The many potential changes in physical appearance and functional abilities, including the loss of hair, the onset of Cushing's syndrome and varied physical disabilities, may cause devastating alterations in body image, requiring tremendous coping skills for adaptation in these individuals. One hundred and ten subjects were …
The Moral Reasoning Of Nurse Practitioners, Diane C. Viens Dnsc, Ms, Fnp, Rnc
The Moral Reasoning Of Nurse Practitioners, Diane C. Viens Dnsc, Ms, Fnp, Rnc
Dissertations
The purpose of this phenomenological study was to identify the moral dilemmas experienced by nurse practitioners in their clinical practice and to describe the essential features of moral reasoning utilized by the nurse practitioners to resolve the moral dilemma. The participants in the study were ten female volunteers who were currently employed as NPs in a variety of settings. Unstructured interviews were conducted with the participants and the qualitative data was analyzed using a nine step process. Five essential features of moral reasoning emerged through the process of data analysis: values, elements in the contextual framework for moral reasoning, influencing …
A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc
A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc
Dissertations
The purpose of this study was to describe and explain the impact of work stress, sex role organization, and organizational tenure on self-esteem and work satisfaction, and ultimately, on the organizational commitment of registered nurses. An eclectic framework was utilized which incorporated organizational and personal variables. The correlational design resulted in a temporally ordered causal recursive model with linkages supported by a literature review. Past research has demonstrated less organizationally committed nurses more prone to leave their positions, and high turnover is detrimental to patient care as well as costly to the health care system. The sample consisted of 143 …
Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn
Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn
Dissertations
Ethnographic methods were used to examine the nurse-patient interaction for the purpose of developing descriptive and explanatory theory of patient satisfaction based on patients' perceptions regarding their nurses' interpersonal skills. A private acute care hospital was the setting for 40 patients and 12 nurses who were study participants. Four processes provided the framework for the themes that emerged: "translating," "getting to know you," "establishing trust," and "going the extra mile." I labeled the action of nurses informing, explaining, instructing, and teaching patients the translation process. Informing and explaining were described by both patients and nurses as very important to the …
Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C
Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C
Dissertations
The purpose of this study was to identify a substantive theory to explain and predict interpersonal conflict as it is experienced by nursing faculty. Gaining an understanding of this process may assist faculty and administrators of nursing education programs in dealing with interpersonal conflict in more constructive and helpful ways. It may also provide the basis for further development of formal theory and the potential for theory testing. The grounded theory method described by Glaser and Strauss (1967) and Glaser (1978) guided data collection and analysis. The sample was comprised of 18 full-time nursing faculty members from the field site …
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Dissertations
Using a stress-coping theoretical framework, this path analytic study examined the effects of hardiness, self-esteem, social support, and stress on coping, service utilization, and well-being of elderly women. Fifty-five rural and fifty-five urban females living in the community comprised the sample whose mean age was 75 years. The overall level of well-being of these women was high. Hardiness was associated with greater social support and well-being. Self-esteem was related to lower stress. Hardiness and self-esteem were also associated with decreased use of emotion-focused coping. Stress had a positive relationship with service utilization and a negative relationship with well-being. Problem-focused coping …
The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn
The Essential Characteristics Of Advocacy Associated With The Nurse-Client Relationship: The Client's Perspective, Victoria Louise Cole Schonlau Dnsc, Mpa, Bsn, Rn
Dissertations
The purpose of this phenomenological study was to describe clients' lived experiences of advocacy associated with the nurse-client relationship. The sample consisted of ten non-hospitalized adults, 19 to 72 years of age, who had a hospitalization or ambulatory relationship with a registered nurse within the previous six months. Data were gathered via interviews initiated with the same open-ended question. Georgi's five step method was used for data analysis. Four essential characteristics of advocacy associated with the nurse-client relationship were identified. Described by clients as nurse attributes, behaviors, and actions, they were labelled: Competent Knower, Competent Doer, Humanizer, and Communicator. Clients …
The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn
The Experience Of Female Nurses Being Cared For: A Phenomenological Analysis, Sharon Lu Skinner Shetlar Dnsc, Ms, Bsn, Rn
Dissertations
The focus of this phenomenological inquiry was the question: What is the meaning (essential structure) of the experience of being cared for as lived by female nurses? The purpose of this study was to explore and describe the experience of being cared for. Phenomenologic methodology was used for this study. Data analysis was patterned after the guidelines set out by Colaizzi, and Miles and Huberman. Fifteen female nurses described their experiences of being cared for during two interviews with the researcher. Through analysis of the first audio-taped interview metathemes describing the phenomena and a unity of meaning emerged. During the …
A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn
A Woman For All Seasons: A Biography Of Julia Catherine Stimson (1881-1948), Mary T. Weber Sarnecky Dnsc, Mn, Bsn
Dissertations
Little is known or written about one of nursing's most enduring and productive leaders, Julia Catherine Stimson. The purpose of this investigation was to examine the life and character of Miss Stimson and to identify the many, diverse contributions which she made to the profession of nursing and to humanity. Additionally through an analysis of her leadership qualities, a profile of an effective nursing leader evolved. The historical method was used in this investigation. Data was collected for the study from the National Archives, the Center of Military History, the New York Hospital/Cornell Medical Center Archives, the New York Historical …
Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp
Autonomy In Practice: Conceptualization, Construction, And Psychometric Evaluation Of An Empirical Instrument, Judith Smith Dempster Dnsc, Msn, Rnc, Fnp
Dissertations
The purpose of this research was to conceptualize, construct and establish psychometric properties of an instrument to examine unmeasured dimensions of autonomy in practice through a process of retroduction and triangulation. In the context of ongoing rapid change and increasing competition in the health care delivery arena there is valid reason for nursing and other health professions to be concerned with their autonomous practice status. However, research and instrumentation activities have been hindered by the abstract nature of autonomy with only limited theoretical dimensions empirically measured. There is need to develop new, original, useful, and generalizable tools with a wide …
The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn
The Nurse Manager: An Ethnography Of Hospital-Based First-Line Nurse Managers Practicing In An Expanded Role, Sally Everson-Bates Dnsc, Ma, Rn
Dissertations
The behaviors, beliefs and values that characterize everyday practice of first-line nurse managers role were analyzed. Ethnographic field research techniques were used including nine months of observation and in-depth interviews with practicing nurse managers. After reviewing historical events that shaped the role of the nurse manager, the role was then placed within the economic, social and health care context of the 1970's and 80's. Research and anecdotal descriptions of the manager role of the past twenty years were also explored. Research was conducted in two voluntary acute care, multi-service hospitals. One manager was observed intensively for two months to develop …
The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc
The Everyday Life Experiences Of Three To Six-Year-Old Children With Comforting Possessions, Susan H. Harris Dnsc
Dissertations
The purpose of this study was to explore the phenomenon of comforting possessions in order to develop descriptive theory based on the perceptions, beliefs, values, symbolic meanings, and feelings of young children regarding comforting possessions. Using ethnographic methods, children with comforting possessions were observed extensively in a preschool setting (n = 10). Two of these children were later interviewed with a parent present. In addition, 17 other children were interviewed in the home or preschool setting with a parent present for a total study sample of 27 children. Several major patterns were supported by the data derived from these two …
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Dissertations
Using a stress-coping theoretical framework, this path analytic study revealed personal influences and outcomes of caring by nurses from a patient's perspective. Rating the amount of humanistic caring from a specific nurse who had the greatest effect on them during their current hospital admission, this sample of 120 adult, hospitalized, medically-treated patients, between 25 to 65 years of age indicated that a moderate amount of caring tended to be beneficial. The personal factors which influenced these ratings included the desire to be kept informed, age, and pain perceptions. Younger patients, individuals who desired more cognitive control over health care, and …
The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc
The Effects Of Collaboration, Organizational Climate, And Job Stress On Job Satisfaction And Anticipated Turnover In Nursing, Jaynelle F. Stichler Dnsc
Dissertations
The purpose of this study was to examine the effects of collaborative behavior, organizational climate, and job stress on job satisfaction and anticipated turnover in nursing. The path analytic model of anticipated turnover was temporally ordered with all exogenous variables proposed to directly affect job satisfaction and anticipated turnover and indirectly affect anticipated turnover through job satisfaction. Subjects (N = 188) were female Registered Nurses from six hospitals in Southern California. The majority of the respondents were clinical nurses who worked full time on the day shift, although a significant percentage of the sample also worked part-time or perdiem and …
Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn
Patterns Of Psychological Adaptation In Death And Dying: A Causal Model And Exploratory Study, Marjorie C. Dobratz Dnsc, Msn, Rn
Dissertations
The purpose of this study was to examine the interrelationships of the person-environment variables of age, sex, length of illness, pain, social support, and physical function as they affected psychological adaptation in dying. An adaptation paradigm of constructs from nursing, illness, and dying provided the theoretical framework which was used to formulate and test a causal model. This study, in addition, had a qualitative component that identified, from the participants' spontaneous responses, reactions to and perceptions of the dying process. A sample of 97 adults was recruited from two metropolitan home hospice programs, with testing occurring in the home. Regression …
Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc
Personal And Organizational Variables Related To The Strength Of Mentoring Relationships In Nursing, Willa Fields Dnsc
Dissertations
Mentoring is viewed as a viable developmental process for nurses that promotes professional maturation, career satisfaction, and strong, competent leaders. Personal and organizational variables related to mentoring, such as mentoring potential, professional success, immediate organizational climate, general organizational climate, and experience as a mentee, have been described in the theoretical and research literature. A conceptual model for this investigation was developed which related these variables to the mentors' perceptions of the strength of their strongest mentoring relationship. The purpose of this study was to establish the strength of the relationships delineated in the model. The model was tested on 125 …
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Dissertations
The purpose of this study was to describe and explain the impact of demographic variables (age, educational level, time since diagnosis) and subsequent psychosocial variables (perceived stress, ways of coping, professional support, and social support) on adherence and, ultimately, on health status (blood pressure, psychological symptoms, and subjective health) in patients with essential hypertension whose health care was managed by a nurse. Because nurses manage the therapeutic regimens of these patients, it is necessary to identify those factors that influence adherence and thus the health of hypertensive individuals. The transactional framework of stress, appraisal, and coping of Lazarus and Folkman …
The Relationship Between Family Functioning And Adolescent Substance Use, Vicky R. Bowden Dnsc
The Relationship Between Family Functioning And Adolescent Substance Use, Vicky R. Bowden Dnsc
Dissertations
This study utilized an explanatory correlational design to examine the relationship which exists between the predictor variables of adolescent's perception of family adaptation, cohesion, and communication, parental use of substances, adolescent age and gender and the criterion variables of adolescent behavioral intention and self-reported use of alcohol, tobacco, and illicit drugs. The theoretical perspectives of the study, derived from developmental theory and the Circumplex Model of Marital and Family Systems viewed the adolescent stage as a period in which the entire family is challenged to balance levels of adaptation and cohesion in order to facilitate individuation and autonomy of adolescent …
A Model Of Registered Nurse Intent To Stay In Southern California Childrens' Hospitals, Linda Diann Urden Dnsc, Mn, Rn, Cna
A Model Of Registered Nurse Intent To Stay In Southern California Childrens' Hospitals, Linda Diann Urden Dnsc, Mn, Rn, Cna
Dissertations
The purpose of this study was to examine the interrelationships of professional image, organizational climate or domains thereof, professional commitment, organizational commitment, position satisfaction, and the influence of these variables on intent to stay employed. The path analytic model of intent to stay was temporally ordered and proposed that professional image and organizational climate affect intent to stay through professional commitment, organizational commitment, and position satisfaction. Subjects (n = 232) were both male and female registered nurses who worked per diem, part-time, or full-time on all shifts. They held clinical positions, delivered direct care, and had been employed in one …
Multiple Role Women And Their Spouses: Variables Effecting Family Functioning, Julie C. Novak Dnsc, Cpnp, Ma, Rn
Multiple Role Women And Their Spouses: Variables Effecting Family Functioning, Julie C. Novak Dnsc, Cpnp, Ma, Rn
Dissertations
The purpose of this study was to examine the effect of age, education, perceived child care support, social support, role conflict, coping and marital adjustment on family functioning as experienced by multiple role women and their spouses. The family has long been recognized as the most important contextual influence in human growth and development. Nurses have been working with families for generations, especially in community and mental health nursing. It is only in the last decade, however, that there has been an increasing interest in family research among nurses reflected in a trend away from individual-focused studies and toward a …
Pregnancy Outcome In Military And Civilian Women, Karen Messersmith Heroman Dnsc
Pregnancy Outcome In Military And Civilian Women, Karen Messersmith Heroman Dnsc
Dissertations
Low birth weight and prematurity account for much of the morbidity and mortality in the neonatal period as well as for much of the cost in newborn care. The purpose of this investigation was to determine if two groups of pregnant women, military enlisted and civilian dependents, differed in selected risk factors (smoking, alcohol consumption, weight gain, prenatal care, work patterns, life stress, and social support) or in pregnancy outcome (infant birth weight and gestational age). The House (1981) theory of stress, social support, and health served as the framework for this study. Since little has been published on pregnancy …