Medicine and Health Sciences Commons^™

Cost-Effectiveness Of Activities In Extended-Care Facilities, Nancy Marie Knapp

Theses

The purpose of this project is to evaluate the cost-effectiveness of activities in extended-care facilities. The life expectancy of older adults and housing options is presented in the introduction to this project. A literature review highlights the need for activities to maintain and restore the health of older adults in extended-care facilities. The literature shows that activities help to meet the physical, emotional, and spiritual needs of older adults. Meeting these needs leads to life satisfaction for the residents in extended-care facilities. The importance of evaluation in determining the cost-effectiveness of activities in extended-care facilities is also presented in the …

The Effects Of 50 Beat Per Minute Music To Decrease Anxiety And Lower Heart Rates In A Select Group Of College Students, Laura E. Burnell

Theses

The purpose of this study was to assess the affect of experimenter chosen 50 beat per minute music composed especially for stress and anxiety reduction on a select group of college students, and to examine its usefulness in promoting relaxation. The rationale for the study was based on research done in the area of using music to promote relaxation, and on the composer's claims that this music has been effective on a variety of populations for such purposes. Thirty subjects comprised of 17 males and 13 females ranging in age from 18 to 25 years participated in the study. This …

Patient-Focused Care: The Restructuring Of Healthcare, William E. Brown

Theses

This thesis will focus on the study of restructuring or redesigning the current healthcare delivery system. with a primary emphasis on the concept of patient-focused care. Patient-focused care is defined as the redesign of patient care so that hospital resources and personnel are organized around patients. rather than around various specialized departments.

An overview of the healthcare delivery system prior to 1980 pointed out that healthcare expenses were increasing at far too rapid a rate. The number of Americans without healthcare benefits was climbing and medical record management was out of control. Hospital information systems were obsolete and professional territorialism …

Coping Resources: A Comparative Study Of Parents Of Children With Down Syndrome And Parents Of Children Without Down Syndrome, Randee Jo Feco

Theses

A comparative study was conducted on differences in coping resources in parents of a child with Down syndrome and parents of children without Down syndrome. Participants included twenty- three parents of a child with Down syndrome and twenty-nine parents of children without Down syndrome . All parents were from the St. Louis metropolitan area. The participants completed a personal data questionnaire and the Coping Resources Inventory (CRI). The personal data questionnaire contained demographic questions, and the CRI measured coping resources in five domains: cognitive , social, emotional, spiritual/philosophical, and physical . Data was statistically analyzed to determine differences in each …

Getting Ready For Total Joint Replacement Surgery: A Pre-Operative Education Program, Jason R. Delaney

Theses

Today's health care system is in a state of constant flux attempting to merge, decrease jobs and increase profits. A method to accomplish the goal for increased profits is to have a decline in the number of days any patient remains in the hospital. One such facility attempting to achieve this goal is a 340 bed acute care hospital in the Midwest.

ln the view of the author it seems possible for the physical and occupational therapy departments to have the ability to improve outcomes and decrease the total amount of time any patient remains hospitalized. With this in mind, …

Healthy Back Promotion Program: Barriers To Implementation, A. Alice Endter

Master's Projects

The Occupational Health Nurse Practitioners (OHNPs) and the education specialist at a community hospital in northern California designed and implemented the Patient Lifting Equipment Program and protocol. After 1 year, the investigator used a questionnaire to identify and describe 17 female subjects' barriers to implementing the new equipment and protocol and their risk factors for back injuries. The barriers that the subjects cited most often were increased time to prepare and use the devices and the lack of staff who could assist with the lifts. Risk factors, e.g., age, body mass index, hours worked, stress on the job, and social …

The Differences Between Women And Men In The Length Of Time Between Onset Of Cardiac Symptoms And Undergoing A Cardiac Catheterization, Anita Gertsch

Master's Projects

Coronary artery disease is a leading cause of death among women. Even so, research suggests that women continue to receive less aggressive cardiac treatment than men. The purpose of the research was to determine if there was a time difference in initiation of cardiac catheterization in a selected population of men and women. A chart review was completed on adult women (n=20) and men (n=20), with varied adult ages, at a hospital based cardiac catheterization laboratory in Northern California. The charts were chosen randomly from the daily catheterization list. Data collection included age, gender, preferred spoken language, pay source, prior …

Caregiver Assessment Of Problem Behaviors In Relatives With Dementia, Barbara J. Glaze

Master's Projects

Caregivers were asked to rank the presence and difficulty of 15 specific behaviors in their relative with dementia. Results showed that in most cases, female caregivers ranked the prevalence and the difficulty of the behaviors higher than the male caregivers. In this study, caregivers experienced positive outcomes from the caregiving experience.

Evaluation Of The Effectiveness Of A Direct Observed Therapy Program With Vietnamese Tuberculosis Patients, Jacqueline T. Mac

Master's Projects

Tuberculosis (TB) has long been recognized as a major public health problem. The rate of TB is high in immigrants and the frequency of drug resistance is increasing. A major reason for the development of resistant infections as well as relapse is poor adherence to TB treatment. In response to this problem, direct observed therapy (DOT) was introduced to the TB program in Santa Clara County in 1993. The purpose of this study is to compare the completion rates, relapse rates, and sputum conversion rates between a DOT group and a non-DOT group of Vietnamese TB patients. A chart review …

Congestive Heart Failure And Quality Of Life: Can Patient Education Make A Difference?, Mary Beth Perniz

Master's Projects

Congestive heart failure is a widely prevalent sequel to other chronic medical and cardiovascular conditions. It is of growing concern to nurse practitioners in the primary care setting. Quality of life, as perceived by an individual, is directly affected while living with a chronic terminal illness. This pilot project conducted in a solo medical practice examines the effect of a patient education program on the quality of life of patients living with congestive heart failure. Basic patient education regarding anatomy, physiology, daily body weights, medication management, sodium restriction, regular exercise, and stress reduction was taught to a sample of patients …

The Impact Of An Educational Program On Anxiety Of Student Nurses Related To Perinatal Loss, Connie Telles

Master's Projects

Objective: To measure the effectiveness of a perinatal loss workshop on death anxiety of nursing students. Design: Simple, pretest-posttest. Setting: A classroom at a State University in California. Participants: 20 junior students in a baccalaureate nursing program in a maternal-child rotation. Intervention: A 60-minute perinatal loss workshop including Worden's tasks of mourning, therapeutic and non-therapeutic nursing interventions, photographs, poetry, and coping skills . Main Outcome Measure: Anxiety towards perinatal death was measured by Speilberger's State Trait Anxiety Inventory (STAI Form Y-1). Data were also gathered with a demographic questionnaire and a posttest. Results: The mean score on the PREST AI …

Speech-Language Pathologists' Opinions Of The Reliability Of The Modified Evan's Blue Dye Test For Detecting Aspiration, Amy N. Sanders

Masters Theses

This study attempted to determine if there was a relationship between speech-language pathologists (SLP) opinion of the reliability of the Modified Evan's Blue Dye Test (MEBDT) for assessing aspiration in tracheostomized patients and three factors: (1) number of years working in the field of speech-language pathology, (2) amount of hours per week spent treating dysphagia patients , and (3) number of seminars/conferences attended related to dysphagia management in the last two years. One hundred and six SLPs in the medical setting were surveyed, 52 responded resulting in a return rate of 49.5%. The data collected through the survey was subjected …

An Investigation Of A Theoretical Model Of Willingness To Donate Blood, Douglas Adam

Theses: Doctorates and Masters

The Australian Red Cross Blood Transfusion Service (ARCBTS) in Western Australian faces a major problem with periodic shortages of blood components. These shortages are expected to become more frequent and severe as demand continues to increase at a faster rate than supply. Given that only five percent of the population is registered as blood donors, clearly, the challenge for the ARCBTS is to encourage more people to become regular blood donors. The current study was undertaken to assist the ARCBTS in achieving this goal, by identifying and investigating the factors that influence people's willingness to donate blood. Based on the …

A Patient Management Program: The Evaluation Of A Combined Pre-Admission And Early Discharge Program, Lorna Rogers

Theses: Doctorates and Masters

The purpose of this descriptive study was to describe the evaluation of a 'Patient Management Program'. This managed care type of program combined a Pre-Admission Clinic and an Early Discharge Program. It was established as a twelve month pilot program at a major Western Australian public teaching hospital in January 1995. It aimed to provide a more efficient health service by replacing part of elective surgical patients' inpatient care with outpatient services. The first component of the Program was the Pre-Admission Clinic, which allowed patients to undergo pre-operative assessment and testing prior to admission to hospital, thus facilitating same day …

Living With Mental Illness: A Descriptive Study Of Individual Adult Experiences Of Living With Mental Illness In Zomba, Malawi, Ivy J. Lekera

Theses: Doctorates and Masters

The purpose of this study was to examine the experiences of mental illness in the adult Malawian context. Using the interpretive paradigm, content analysis was used to uncover the lived experiences of mental illness. This study was based on the philosophy that meaning of a phenomenon is best understood if studied within its specific context and within Parse's theoretical framework. Two to four per cent of the global population share the experience of mental illness, however, little is known of individual experiences within the Malawian context. Much of the literature has focused on the physiological aspects, causes, and therapies involved …

What Is The Physicians' Opinion Of The Nurse Practitioner Role And Function?, Theresa J. Grimes

Master's Projects

The study focused on the identification of physicians' opinions regarding the role and function of nurse practitioners. The research design was descriptive, using survey technique. Data were collected by a self-administered questionnaire, the Survey of General Practice Physicians' Opinions Concerning the Family Nurse Practitioner, which was developed by Karen J. Radke and Edith Wright. A convenience sample of 162 physicians, consisting of physicians specializing in family practice, pediatrics, internal medicine and obstetrics/gynecology, currently practicing in Monterey County, California, were surveyed. There were 61 (38%) survey's returned. Overall, physicians were "favorable" to all nurse practitioner functions, with the exception of nurse …

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

Masters Theses

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