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Full-Text Articles in Medicine and Health Sciences

Young Adult Women's Responses To Undergoing Treatment For Early Breast Cancer, Donna Abrashoff Schutte Dnsc Dec 1996

Young Adult Women's Responses To Undergoing Treatment For Early Breast Cancer, Donna Abrashoff Schutte Dnsc

Dissertations

In the nearly two decades of cancer research in the United States, there has been little emphasis on the experiences of young adult women with breast cancer. I therefore adopted a qualitative multicase study method to explore the experiences of five young adult women from the time of discovery of a breast mass through the first three months of recovery from mastectomy. Utilizing data collected via semi-structured interviews, this study sought to describe their concerns, the way in which their concerns changed over time, and the influence of contextual factors. Three themes were identified. These included: "I'm going to die!" …


Helper Woman: A Biography Of Elinor Delight Gregg, Jacqueline S. Pflaum Dnsc, Mph, Ms Nov 1996

Helper Woman: A Biography Of Elinor Delight Gregg, Jacqueline S. Pflaum Dnsc, Mph, Ms

Dissertations

The intent of this investigation was to conduct an extensive study of the life and character of Elinor Gregg (1886-1970) in order to identify the contributions she made to professional nursing and to humanity. Nurse, educator, administrator, beloved relative, and friend, Elinor Gregg was an outstanding person whom nurses today might well emulate. Historical method provided the context for the study. Data were collected from the National Archives; National Library of Medicine Historical Section; Nursing Archives at Mugar Library, Boston University; Nursing Archives at Simmons College; National Headquarters of the American Red Cross; Archives of Colorado College; and Archives of …


Levels Of Depression In Diabetic Elders With Controlled And Uncontrolled Blood Glucose Levels, Julie Sharon Randolph Briggs Aug 1996

Levels Of Depression In Diabetic Elders With Controlled And Uncontrolled Blood Glucose Levels, Julie Sharon Randolph Briggs

MSN Research Projects

Depression is one of the most prevalent illnesses among elders. However, while it is one of the most treatable illnesses, depression is often the most neglected. It is well documented that depression leads to suicide. With the suicide rate among elders the highest of all age groups, it is imperative that health care providers become aware of the risk of depression among diabetic elders. Elders are at risk for depression with advancing age, loss of previous good health, and social interaction. The purpose of this nonexperimental, descriptive study is to compare depression levels in diabetic elders with controlled and uncontrolled …


Overcrowding In The Emergency Department: A Barrier To Health Care Access, Judy Blaine Aug 1996

Overcrowding In The Emergency Department: A Barrier To Health Care Access, Judy Blaine

MSN Research Projects

Patterns of access for primary health care have placed additional strain on emergency departments (EDs). Issues related to these patterns were explored in this ex post facto study. Johnson's Behavioral Systems Model (1968) provided the conceptual framework. The following research questions were explored; What is the incidence of ED patients leaving without being seen by a health care provider? What are the demographic characteristics of ED patients who leave without being seen? How do demographic characteristics of ED patients who leave compare to those who are seen by a health care provider? And what are the reasons given by patients …


Perceived Needs Of Women With Breast Cancer From Diagnosis To Treatment, Barbarba Collier Aug 1996

Perceived Needs Of Women With Breast Cancer From Diagnosis To Treatment, Barbarba Collier

MSN Research Projects

Needs of women with breast cancer from the time they were given the diagnosis until treatment has received little attention by researchers. The purpose of this study was to identify the needs of women after they had been diagnosed with breast cancer and until treatment began. The theoretical framework underlying the study was based on Travelbee’s human to human relationship model. A retrospective univariate descriptive study was done. The Collier Needs Assessment Survey identified needs experienced by the participants related to disease, family, and emotional/psychosocial. Data were collected from 25 women in rural North Mississippi who had been diagnosed with …


Dietary Influences And Exposure To Cigarette Smoke On Myringotomy Rates Of Infants, Melanie Eller Thompson Aug 1996

Dietary Influences And Exposure To Cigarette Smoke On Myringotomy Rates Of Infants, Melanie Eller Thompson

MSN Research Projects

Breastfeeding has been identified as a protective measure to defend against infection, while cigarette smoking is linked with increasing the risk of infection. The purpose of this research was to determine if there is a relationship between dietary influences and exposure to cigarette smoke on myringotomy rates of infants. The Betty Neuman Systems Model was the theoretical framework which guided the study. The researcher, using a correlational ex post facto study design, sought an answer to the question: Is there a relationship between dietary influences and exposure to cigarette smoke on myringotomy rates of infants? A convenience sampling of 128 …


Comparison Of Outcomes In Emergency Department Treated By Nurse Practitioners Or Physicians, Mickey D. Aldridge Aug 1996

Comparison Of Outcomes In Emergency Department Treated By Nurse Practitioners Or Physicians, Mickey D. Aldridge

MSN Research Projects

The increasing number of patients who seek health care in the emergency department has placed a great strain on the resources of facilities to meet those primary health care needs. Utilization of nurse practitioners as health care providers in the emergency department has been suggested to meet the continuing influx of patients. The purpose of this study was to examine the outcomes for patient satisfaction, patient knowledge, and problem resolution. Three hypotheses were generated : (a) There is no difference in the outcome of satisfaction in nonurgent patients presenting to the emergency department when treated by a physician or a …


Spiritual Well-Being And Coping In Women With Breast Cancer, Denise Vandergriff Ferriss Aug 1996

Spiritual Well-Being And Coping In Women With Breast Cancer, Denise Vandergriff Ferriss

MSN Research Projects

Breast cancer is the most common form of cancer among American women, with 180,000 new cases reported each year. The physiological, emotional, and spiritual challenges of the disease can be awesome. The purpose of this descriptive study was to determine if there was a relationship between spiritual well-being and coping in women with breast cancer. The theoretical framework which guided the research was the Neuman Systems Model. The research hypothesis for the study was there will be a significant positive correlation between spiritual wellbeing and coping in women with breast cancer. Using a convenience sample of 31 women between the …


A Descriptive Study Of Family Relationships, Race And Ethnic Origin, And Sexuality Education In Pregnant Adolescents, Joy Murphy Aug 1996

A Descriptive Study Of Family Relationships, Race And Ethnic Origin, And Sexuality Education In Pregnant Adolescents, Joy Murphy

MSN Research Projects

Adolescents are becoming sexually active at increasingly younger ages despite the well-known health risks. The adolescent pregnancy rate in the United States has been considered the highest of any country in the Western world. The purpose of this study was to identify, examine, and describe family relationships, race and ethnic origin, and sexuality education in pregnant adolescents. Pender's Health Promotion Model was used as the theoretical framework to guide this descriptive study. Data were collected from a convenience sample of 30 pregnant adolescents who received prenatal care at three local obstetricians' health care clinics in Northeast Mississippi. Participants were surveyed …


Health Beliefs In Elderly Clients With Congestive Heart Failure, Collette Dixon Aug 1996

Health Beliefs In Elderly Clients With Congestive Heart Failure, Collette Dixon

MSN Research Projects

Congestive heart failure is increasing in incidence, prevalence, and mortality in a rapidly growing American geriatric population. Therefore, the purpose of this descriptive study was to identify, examine, and describe the health beliefs of elders with congestive heart failure (CHF). It is believed that health beliefs influence health or illness behavior. This study explored the health beliefs of elderly patients with CHF residing in Northeast Mississippi. The research question was what are the health beliefs of elderly clients with congestive heart failure? The sample consisted of 32 subjects aged 65 and older who were clients of a home care agency. …


A Comparison Study; Sexuality In Women With Insulin-Dependent Diabetes Mellitus And In Women Without Chronic Illness, Beth Eubank Aug 1996

A Comparison Study; Sexuality In Women With Insulin-Dependent Diabetes Mellitus And In Women Without Chronic Illness, Beth Eubank

MSN Research Projects

The relationship between chronic illness and sexuality has long been recognized, and diabetes mellitus is a chronic illness affecting 16 million individuals in the United States. The purpose of this descriptive comparative study was to explore sexuality in the insulin-dependent diabetic female. The research hypothesis that guided the study was there is no difference in perceived sexuality for women with insulin-dependent diabetes and women without chronic illness. The sample consisted of 30 females between the ages of 21 and 40 years who had not experienced surgical menopause and were clients in primary care clinics in the Mississippi Delta. Fifteen of …


The Significance Of The Therapeutic Use Of Pets On Socialization With Elders In An Extended Care Facility, Lisa Byrd Aug 1996

The Significance Of The Therapeutic Use Of Pets On Socialization With Elders In An Extended Care Facility, Lisa Byrd

MSN Research Projects

In the year 2020, 80% of the United States population will be over the age of 65 years (Fick, 1993). Elders frequently reside in extended care facilities and experience feelings of loneliness, depression, disorientation, and helplessness (McQuillen, 1985). The therapeutic use of pets has been shown to have positive effects on the socialization of elders. Most research has been conducted utilizing group therapy with a pet. This study focused on the benefits of therapeutic use of pets with the individual elder. The theoretical framework was based on the Neuman Systems Model. The purpose of this study was to determine the …


Health Promotion Practices Of Nurse Practitioners Practicing In The State Of Mississippi, Valerie O'Briant Sullivan Aug 1996

Health Promotion Practices Of Nurse Practitioners Practicing In The State Of Mississippi, Valerie O'Briant Sullivan

MSN Research Projects

Health promotion has become a major factor in the practice of modern medicine for reasons such as cost effectiveness, disease prevention, and health promotion. Nurse practitioners are on the forefront in educating the public about health promotion practices. The purpose of this study was to describe the health promotion practices of nurse practitioners who practice in the state of Mississippi. Pender's (1992) Health Promotion Model which uses wellness orientation guided the research. The study addressed the question: What are the health promotion practices of nurse practitioners who practice in the state of Mississippi? The sample was comprised of all nurse …


The Role Of The Nurse Practitioner In Home Health Care, Bonnie Mcmillan Aug 1996

The Role Of The Nurse Practitioner In Home Health Care, Bonnie Mcmillan

MSN Research Projects

Home health agencies have been slow to employ and capitalize on the care provided by the nurse practitioner. The potential contributions of this advanced practice nurse are far-reaching. However, no studies have assessed the role possibilities for the nurse practitioner in the home health field. The purpose of this study was to examine the need for and define the role of the nurse practitioner in home health care. Two research questions guided the study: What is the role of the nurse practitioner in home health care as perceived by home health nurse practitioners and staff nurses and what are the …


The Effects Of A Smoking Prevention Program On The Post-Test Knowledge Levels And Attitudes Of Seventh And Eighth Grade Students, Sandra E. Stinson Aug 1996

The Effects Of A Smoking Prevention Program On The Post-Test Knowledge Levels And Attitudes Of Seventh And Eighth Grade Students, Sandra E. Stinson

MSN Research Projects

Chronic health problems associated with smoking in the adult population have been linked with the use of tobacco in the influential adolescent years. Education aimed toward the adolescent may decrease the incidence of cigarette smoking in the adult population. Little research has been done regarding the knowledge and developmental levels of adolescent smoking and the risks for health problems. The purpose of this quasi-experimental study was to determine the effectiveness of a smoking prevention program on the knowledge and attitudes of seventh and eighth grade students. Orem’s Self-Care Deficit Theory served as the theoretical framework. The sample consisted of students …


Health Promotion Practices Of Nurse Practitioners Practicing In The State Of Mississippi, Valerie O-Briant Sullivan Aug 1996

Health Promotion Practices Of Nurse Practitioners Practicing In The State Of Mississippi, Valerie O-Briant Sullivan

MSN Research Projects

The purpose of this study was to describe the health promotion practices of nurse practitioners who practice in the state of Mississippi.


A Comparison Study: Sexuality In Women With Insulin-Dependent Diabetes Mellitus And In Women Without Chronic Illness, Beth Eubank Aug 1996

A Comparison Study: Sexuality In Women With Insulin-Dependent Diabetes Mellitus And In Women Without Chronic Illness, Beth Eubank

MSN Research Projects

The purpose of this descriptive comparative study was to explore sexuality in the insulin-dependent diabetic female.


Health Beliefs In Elderly Clients With Congestive Heart Failure, Collette Dixon Aug 1996

Health Beliefs In Elderly Clients With Congestive Heart Failure, Collette Dixon

MSN Research Projects

The purpose of this descriptive study was to identify, examine, and describe the health beliefs of elders with congestive heart failure (CHF).


The Implementation Of Specialized Physical Health Care Services-A Descriptive Model Of The Training Of Unlicensed Assistive Personnel, Janet Chang Needman Aug 1996

The Implementation Of Specialized Physical Health Care Services-A Descriptive Model Of The Training Of Unlicensed Assistive Personnel, Janet Chang Needman

Master's Projects

No abstract provided.


Chronic Pain: Nurse Practitioners' Attitudes And Interventions In Primary Care, Brenda Kay Thornton Coggins Jul 1996

Chronic Pain: Nurse Practitioners' Attitudes And Interventions In Primary Care, Brenda Kay Thornton Coggins

MSN Research Projects

Chronic pain is a widespread problem affecting millions of people. Research has shown that attitudes and beliefs toward pain influence actions and reactions of both the person experiencing pain and the health care provider. Research has also shown that some health care providers have negative attitudes and erroneous beliefs about pain. This descriptive study was undertaken to explore and describe attitudes of nurse practitioners in primary care settings in Mississippi toward chronic pain and their subsequent interventions for chronic pain. Travelbee's Human-to-Human Model was utilized as the theoretical framework for this study. The two research questions asked in this study …


The Incidence Of Congenital Anomalies Amongst Infants Born Between January 1992 And April 1996 In Lowndes County Mississippi, Sandra Lanell Faulkner Jul 1996

The Incidence Of Congenital Anomalies Amongst Infants Born Between January 1992 And April 1996 In Lowndes County Mississippi, Sandra Lanell Faulkner

MSN Research Projects

The purpose of this study was to determine the incidence of congenital anomalies occurring between January 1992 and April 1996 in Lowndes County Mississippi.


Children With Hiv: How They Feel About What Parents Say, Susan Pease Instone Dnsc, Msn, Cpnp Jul 1996

Children With Hiv: How They Feel About What Parents Say, Susan Pease Instone Dnsc, Msn, Cpnp

Dissertations

With improvements in diagnosis and care, children with HIV infection are living long enough to reach school age, a stage when they are capable of perceiving the stigmatizing, life-threatening nature of their illness. Many parents desire to protect them from this knowledge by avoiding an open dialogue about their disease, even though pediatric professionals advocate disclosure. Research-based guidelines about the risks and benefits of telling, however, have not been available in the literature. Using an innovative, qualitative approach through the use of grounded theory and projective drawing techniques, this investigation sought to explore what parents said about the illness and …


Pediatric Intensive Care Nurses : Post-Traumatic Stress Disorder-Like Symptoms, Juanita J. Allen Jun 1996

Pediatric Intensive Care Nurses : Post-Traumatic Stress Disorder-Like Symptoms, Juanita J. Allen

Loma Linda University Electronic Theses, Dissertations & Projects

Medical personnel are not only exposed to routine pressures of demanding roles, but research reveals that they can suffer from severe stress related to exposure to critical incidents. These events can overwhelm an individual's ability for emotional adjustment leading to negative symptoms such as emotional numbing, mood changes, estrangement from friends or family, decreased ability to perform or function on the job, development of posttraumatic stress disorder (PTSD) symptoms, loss of work through attrition, and depression. Contact with seriously injured children or children who have died has been shown to constitute just such a critical incident for pre-hospital care personnel …


A Correlative Study Of An At-Risk Population And Low Birth Weight/Infant Mortality In A Northeast Oklahoma City Community, Estacia D. Thrower May 1996

A Correlative Study Of An At-Risk Population And Low Birth Weight/Infant Mortality In A Northeast Oklahoma City Community, Estacia D. Thrower

McCabe Thesis Collection

Studies show that numerous and complex variables influence pregnancy outcomes and infant mortality rates. These variables include demographic, medical, physical, environmental, behavioral, and attitudinal factors and prenatal care. Improving the health of mothers and infants is a national challenge. In 1987, more than 3.8 million infants were born in the United States. Of these, 38,408 died before their first birthday. Although the infant mortality rate is at an all-time low, the pace of progress has slowed. According to Dr. Robert Deppen of the Oklahoma State Health Department, "In 1992, Oklahoma ranked 29th in the United States for infant mortality and …


Can Target Volume Breathing Exercises Taught Preoperatively Decrease Postoperative Pulmonary Complications For Cardiac Surgery Patients?, Lea Sol Lopez-Fagin May 1996

Can Target Volume Breathing Exercises Taught Preoperatively Decrease Postoperative Pulmonary Complications For Cardiac Surgery Patients?, Lea Sol Lopez-Fagin

Theses & Dissertations

Postoperative pulmonary complications and management are recognized as major problems following coronary artery bypass graft and valve repair surgery. Pulmonary complications include hypoxemia, reduction in air volume capacity, atelectasis, fever, tachycardia, tachypnea, and pneumonia. However, little is known about specific therapeutic interventions in nursing related to the amelioration of postoperative pulmonary complications in cardiac surgical patients. The study evaluated the outcomes of preoperative teaching of target volume breathing exercises in the prevention of hypoxemia and reduction of lung volume capacity for coronary artery bypass graft (CABG) and valve repair patients. Thirty-four patients aged 50-77 years undergoing CABG or valve repair …


Ethical Decision-Making Among Critical Care Unit Nurses, Mary Ellen Bowen Dnsc, Mn, Rn, Cnaa May 1996

Ethical Decision-Making Among Critical Care Unit Nurses, Mary Ellen Bowen Dnsc, Mn, Rn, Cnaa

Dissertations

The health care business has created complex relationships between consumers and health care institutions. Rising health costs, rationing of health care and medical technology have put critical care unit (CCU) nurses in complex environments where they must face ethical conflict. CCU nurses find themselves ill equipped to make sound decisions concerning ethical dilemmas. Nurses must ensure the patient's choices are respected and honored due to the duties inherent in the nurse-patient relationship. The purpose of this study was to explore the process of ethical decision making (EDM) as it is experienced by CCU nurses. Gaining an understanding of this process …


Breast Self-Examination Teaching For Women In Chemical Dependency Programs, Michelle B. Lessard Jungwirth May 1996

Breast Self-Examination Teaching For Women In Chemical Dependency Programs, Michelle B. Lessard Jungwirth

Master's Projects

Fifty-two women from 5 chemical dependency programs participated in a 1 hour health education program teaching breast self-examination using breast models. Tactile skills and general information about breast cancer and breast self-examination were presented. The program was evaluated for its ability to teach this high risk population. Nine true/false questions and lump detection skills were evaluated using_a pretest/posttest non-experimental design. A level of significance for the true/false questions was set at .01, and for lump detection skills it was set at .05. Dependent t tests was used to statistically analyze the data. Participants improved their general knowledge about breast cancer …


Nursing Faculty Connecting With Students: A Heideggerian Hermenteutical Study, Debra I. Craig Dnsc, Msn, Rn May 1996

Nursing Faculty Connecting With Students: A Heideggerian Hermenteutical Study, Debra I. Craig Dnsc, Msn, Rn

Dissertations

This study sought to gain an insight into the phenomenon of nursing faculty members connecting with students. Caring has been espoused as a key component of nursing education for many decades. In the last 10 years the terms caring and connecting are commonly found associated with each other, and yet there is no clear definition of connecting. It is important to understand a phenomenon from the point of view of those who are experiencing it. Therefore, a study which asked nursing educators to tell stories of the times they had connected with students was undertaken. Ten nurse educators in the …


The Journey From Nonexerciser To Exerciser: A Grounded Theory Study, Keri Kuniyoshi Medina Dnsc, Ms, Rn May 1996

The Journey From Nonexerciser To Exerciser: A Grounded Theory Study, Keri Kuniyoshi Medina Dnsc, Ms, Rn

Dissertations

The physiological and psychological health benefits of regular physical exercise are well-documented; however, drop-out rates from both supervised and unsupervised exercise remain high. Many potential influences on exercise behavior have been studied, but with largely inconsistent results, making it difficult to identify key targets for intervention. The purpose of this study was to explore the process through which nonexercisers become exercisers, and the contextual factors which affect movement through this process, in order to enable nurses to more successfully assist clients to incorporate exercise into their lifestyles. The exercise experiences of 22 individuals who had successfully made the transition from …


The Effect Of Written Information And Reassurance On Patient Satisfaction, Anxiety, And Intent To Return For Emergency Care, June Andrea Dnsc May 1996

The Effect Of Written Information And Reassurance On Patient Satisfaction, Anxiety, And Intent To Return For Emergency Care, June Andrea Dnsc

Dissertations

Patients' satisfaction is one of the primary goals of emergency department (ED) providers today. As emergency departments are overcrowded, stressful environments, anxious patients want to be kept informed. Nurses have the opportunity to meet these needs and possibly influence the patients' perception of the experience and intent to return for future care. This study examined the effects of providing written information and reassurance on patient satisfaction, anxiety, and intent to return for emergency care. The design was a posttest design involving a comparison between the control and three experimental groups. Two hundred and forty patients participated in the study, approximately …