Evaluation Of Caring Behaviors In High-Fidelity Simulation Following A Caring Concept Educational Intervention, Debra Ann Mcwilliams

Theses & Dissertations

Background.

Simulation has created a new paradigm in nursing education. Behaviors that demonstrate caring are important aspects of quality nursing practice. Nursing education needs to integrate opportunities to teach caring, and simulation is an ideal environment to do this. Faculty must assist nursing students to establish competence in psychomotor, cognitive, and the affective domains of learning. Many of the widely used, standardized scenarios in simulation predominantly focus on critical-thinking skills while marginalizing the demonstration of caring behaviors.

Purpose.

The purpose of this quantitative study was to examine the effect of a caring concept educational intervention (CCEI) in students’ self-reported confidence …

Secondary Data Analysis: Predictors Of Employment Among Young Adults With Cerebral Palsy, Eduardo Santos Del Rosario

Theses & Dissertations

Young adults with cerebral palsy have lower employment rates as compared to young adults in general, as they may be confronted with complex interactions between cognitive delays, physical impairments, activity limitations, participation challenges, and personal and/or societal barriers as they progress to adulthood. These challenges are clear, the solutions, less so. Understanding the predicting factors of employment is vital to future generations of this population. The purpose of this study is to identify predictor variables and examine the relationship of those variables to employment. It has explored existing Rehabilitation Services Administration (RSA-911) data through the lens of the International Classification …

A Psychometric Validation Of The Provider Responses, Treatment, And Care For Trafficked People Instrument, Shaneke O. Pryce

Theses & Dissertations

Background

Human trafficking (HT) is often referred to as modern-day slavery, where force, fraud, or coercion is used to lure an individual into a life of labor or sexual exploitation. Although trafficked persons commonly interface with the healthcare setting, they are often unidentified and returned to the trafficked population. Previous studies have shown that while in captivity, trafficked persons have accessed medical care on various occasions, seeking treatments ranging from minor ailments to more severe ones at emergency departments, primary care clinics, and specialized clinics for sexual and reproductive health (Chisolm-Straker et al., 2016; Lederer &Wetzel, 2014). The inability to …

New York State Emergency Department Assessment Treatment And Referral Of Individuals Presenting To The Emergency Department With Opioid Use Disorder, Macia Victoria Drummond

Theses & Dissertations

Opioid dependence and addiction are classified as severe medical conditions that cause adverse effects on the individual, their family, and society as a whole. The increasing number of opioid overdose cases and deaths has posed a significant challenge for emergency departments (EDs) as they play a crucial role in providing immediate medical attention to patients with opioid use disorder (OUD). The consequences of OUD are alarming, with high morbidity and mortality rates. The purpose of this study was to examine the policies, practices, and barriers to adherence to nationally recognized clinical best practices for treating patients with OUD in New …

Chronic Kidney Disease Patients' Experiences In The Decision Making Process: The Relationship Between Personal Characteristics And Decisional Self-Efficacy On Decisional Conflict And The Dialysis Decision In Patients Who Participated In Shared Decision Making, Lincy Jojan

Theses & Dissertations

Patients with End Stage Renal Disease (ESRD) experience a complex and stressful decision making when comes to dialysis modality selection. There are pros and cons to both hemodialysis (HD) and peritoneal dialysis (PD). Patients are often uncertain as to which one is the best modality for them. This decisional conflict increases the likelihood of making a decision that is not based on the patient’s values or preferences and may result in undesirable post-decisional consequences. Purpose The purpose of this study was to explore Chronic Kidney Diseases (CKD) patients' experiences regarding their decision making process in selecting a dialysis modality. The …

Mixed Method- How Do Medical-Surgical Nurses Provide Compassionate Care To Patients In The Face Of Adversity?, Diane D. Kret

Theses & Dissertations

Compassion is a quality that is the very essence of nursing. Nurses, as professionals, seek to alleviate suffering. It is through providing compassionate, connected care that nurses can relieve their patients’ suffering. In the midst of adversity such as taking care of ill and dying patients, especially in the Covid-19 pandemic, nurses have been challenged with providing compassionate care despite the increased toll that this may have on them. There is evidence that exposure to these events can cause compassion fatigue and burnout. When these signs of compassion fatigue or compassion burnout are not addressed, nurses have decreased job satisfaction …

Relationships Of Secondary Traumatic Stress And Self-Efficacy Among Obstetric Nurses Caring For Patients And Families With Perinatal Loss, Jennifer Baierlein

Theses & Dissertations

Background

The labor and delivery unit is a place where new life begins, and families are made. Perinatal loss is a traumatic event for families and those that provide care to expectant families. In providing care to patients and families experiencing perinatal loss, nurses are at risk for secondary traumatic stress, which could be harmful to their physical and emotional state leading to compassion fatigue and burnout. Perinatal loss represents a stressful and emotionally demanding event for healthcare professionals, as they must deal with the additional burden of managing their own emotions while caring for the patients. Self-efficacy is a …

The Lived Experience Of Older Adults With Visual Impairments And Their Integration Into Social And Recreational Activities In The Long-Term Care Setting: A Phenomenological Study, Julie Ann Conboy Russo

Theses & Dissertations

The prevalence of vision loss in the elderly is high. Visual impairment in long-term care (LTC) settings may be a barrier to fully interacting in therapeutic recreational and social activities. Living with visual barriers may hamper safety (i.e., fear of falling and navigating in unfamiliar settings); cognitive ability; and participation in activities leading to isolation, depression, and loss of self-esteem. Decreased stimulation may affect one’s overall happiness and quality of life. A qualitative phenomenological design was followed to capture the lived experience of older adults with visual impairments living in LTC settings and their integration into social and recreational activities …

Descriptive, Comparative, And Correlational Study Related To End-Of-Life Care Prior To The Covid-19 Pandemic Outbreak (Time 1) And 12 Months Following Lockdown (Time2), Elizabeth Infante

Theses & Dissertations

Background

Palliative care has grown in its acceptance nationally and formed the base of a growing number of programs to provide care in a way that recognizes the importance of supporting people with chronic, debilitating, and life-limiting illnesses by focusing on “care” rather than “cure.” This special care warrants an understanding by all nurses and requires education across specialties and disciplines. Despite the increase of palliative care services in hospitals and other settings, long-term care and home care agencies continue to struggle with the education of staff and delivery of care to clients that incorporate the central tenets of what …

Urinary Incontinence In The Pre-Menopausal Woman And Impact On Quality Of Life, Jacqueline Skene Kirk

Theses & Dissertations

Background

Urinary incontinence (UI) is a medical condition that plagues millions of women worldwide, negatively affecting their quality of life. UI is the involuntary release of urine or what women refer to as having “accidents.” Women suffering from UI often feel embarrassed and become socially isolated. The majority of studies in the literature focus on UI in postmenopausal women. However, very few studies explore the lived experience of living with UI as a premenopausal woman, who are at a time in their lives when they are involved in their careers, having intimate relationships with their partners, and are raising their …

Understanding The Lived Fertility Preservation Experience From Diagnosis To The Start Of Adjuvant Therapy: A Study Of Young Breast Cancer Survivors, Kristine Ferrucci-Egan

Theses & Dissertations

Purpose

The purpose of this phenomenological study was to explore and gain an in-depth understanding of the lived fertility preservation experience of young female breast cancer survivors from diagnosis prior to the start of adjuvant therapy. The knowledge gained from the findings of this study may provide insights for nursing practice, research, and academia.

Background

Premenopausal women often present with later-stage disease and a prognosis far worse than women who develop breast cancer later in life. In addition, this disease in younger women tends to be of a more aggressive biological subtype, with outcomes that are significantly worse than for …

A Descriptive Correlational Study Of Factors Reported To Negatively Impact Memory In Women Who Have Received Treatment For Breast Cancer In Relation To Covid-19, Heather Reens

Theses & Dissertations

Introduction

Cognitive impairments associated with cancer and cancer treatment are side effects that have and continue to elude the oncology world. Cognitive impairments related to chemotherapy are also known as “chemo-brain” or “chemo-fog” and encompasses deficits in cognitive domains that include memory, verbal fluency, attention, and concentration, and one’s ability to recall information. Patients who experience cognitive impairments during and after cancer treatments, chemotherapy in particular, are often afflicted with impaired executive functioning, problems with memory and recall, loss of control and decreased sense of self, increased stress and depression, role conflicts when returning to work, and impaired quality of …

Inpatient Pediatric Nurses’ Knowledge, Attitudes, Beliefs, And Practices Of Infant Safe Sleep, Francince Bono-Neri

Theses & Dissertations

Background According to the Centers for Disease Control and Prevention (CDC), about 3,600 infants died suddenly and unexpectedly in the US in 2017 (CDC, 2020a). These deaths occurred among infants less than 1 year of age, having no immediately obvious cause. These sudden unexpected infant deaths (SUID) have three commonly reported mortality (or vital records) codes, which include Accidental Suffocation and Strangulation in Bed (ASSB), Sudden Infant Death Syndrome (SIDS), and other ill-defined deaths (CDC, 2020b; Mathews, MacDorman, & Thoma, 2015). These infant fatalities, with infant defined as a newborn through 12 months of age, collectively fall under the umbrella …

Parents Raising Children With Intellectual/Developmental Disabilities In Jamaica: A Grounded Theory Approach, Maureen Lowers-Roach

Theses & Dissertations

Purpose The purpose of this study was to explore the experiences and/or challenges of parents or guardians of school-aged children who have intellectual and/or developmental disabilities (IDD) and are living in Jamaica. Background Raising a child with IDD can be overwhelming for parents and families, as it may drain them financially, emotionally, psychologically, and socially. Due to the relative poverty and scarcity of adequate resources in Jamaica, the burden of caring for a child with special needs may be challenging. Attitudes toward persons with disabilities are negative in Jamaica. Although several laws are designed to protect children with disabilities, there …

A Narrative Analysis Of Psychological Adjustments Of Professionals Transitioning To Work Following Cerebral Vascular Accident (Cva), Mabel Munachiso Korie

Theses & Dissertations

This research study was a narrative analysis of the psychological adjustment of professionals transitioning to work after a cerebral vascular accident, commonly known as a stroke. The purpose of this research was to explore the psychological adjustment of professionals who returned to work after a stroke following their subsequent rehabilitation. This has been an important subject because stroke research predominantly addresses older adults, which means that there has not been enough information on the experience of affected working-age professionals. The Roy Adaptation Model and Social Cognitive Theory were the frameworks for the study. The data collected were from audio-recorded and …

Individual Characteristics And Shared Decision Making For Stroke Prevention In Atrial Fibrillation, Patricia Nadraus

Theses & Dissertations

With the advent of patient-centered care, individuals with Afib are asked to participate in the shared decision-making (SDM) process. Choosing therapies in thromboembolic risk reduction is complex, involves trade-offs along with considering risks and benefits of therapeutics. Afib affects between 2.7 million and 6.1 million American adults (January et al., 2014), and with the growing elderly population that number is expected to double by 2030 (Colilla et al., 2013). In 2016 Medicare required a SDM process for individuals considering left atrial appendage for stroke prevention. There have been no studies reported examining individual characteristics and participating in SDM in individuals …

A National Study Of Undergraduate Nursing Students' Early Consideration Of Doctoral Education: What Characteristics Predict Students' Report Of Intention And Readiness To Continue Graduate Education Toward The Doctorate?, Renee Lynn Buonaguro

Theses & Dissertations

Statement of the Problem The looming nursing faculty shortage has already had a direct effect on schools of nursing. With our current understanding about enrollments needed to meet the demands of an adequately prepared healthcare workforce, attention needs to be directed toward the preparation of an adequate educator workforce. A consequence of not having doctorally prepared nursing faculty would result in an inadequate number of professors to accommodate the 70,000 applicants who are desiring to pursue their nursing degrees. One solution to the faculty shortage is to vastly increase the number of doctorally prepared faculty earlier in their careers. This …

The Relationahips Between Health Behaviors Of Women And Health Locus Of Control Among Black Caribbean Women And Black American Women With Hypertension, Camelle Charles

Theses & Dissertations

Background

Millions of Caribbean women have migrated to the United States, and a sizeable number of these women and Black American women suffer from hypertension and other cardiovascular health problems. This research showed the comparison of health behaviors of both groups of women and the difference in their health outcomes. Today, there are more migrants in the world than ever before; an estimated 272 million international migrants in 2019, which is an increase in 51 million since 2010 (United Nations, 2019) and Caribbean migrants are a substantial portion of this pool. Approximately 4.4 million Caribbean immigrants reside in the U.S. …

Temporal Pain Pattern Sequencing In The Older Adult After Joint Replacement Surgery, Jennifer B. Withall

Theses & Dissertations

Background

Large joint replacement surgery, including hip and knee arthroplasties, are two of the most common surgical procedures that American adults aged 65 years and older undergo annually. While postoperative pain is expected, if it is not properly managed, it can have deleterious effects on postoperative recovery, including an increased length of stay, increased risk for postoperative complications, and decreased patient satisfaction.

Problem

Postoperative pain is primarily managed pharmacologically, typically with opioid pain medications are administered as needed (i.e., pro re nata [PRN]). Patients request pain-relieving medications when they are experiencing escalating pain, which can be challenging to maintain comfort …

Neonatal Nurses' Perceptions Of Providing Palliative Care In The Neonatal Intensive Care Unit, Susan Di Nonno Chin

Theses & Dissertations

Although advances in neonatal medicine have greatly improved infant survival rates, there remains a significant number of infants admitted to the neonatal intensive care unit who will not survive. It is estimated that 50% of the 25,000 annual hospital pediatric deaths occur in the neonatal intensive care unit (NICU) (Conway-Oriel & Edlund, 2015). Despite widely supported guidelines endorsing neonatal palliative care (NPC), implementation has been sporadic and inconsistent (Kain & Wilkinson, 2013). Lack of palliative care protocols has been associated with negative impacts on infants, their families, and multidisciplinary team members. NICU nurses are uniquely positioned to influence end-of-life care …

Male Nurses’ Experience Of Gender Stereotyping Over The Past Five Decades: A Narrative Approach, Michael W. Finnegan

Theses & Dissertations

Negative stereotyping of men in nursing has been a chronic problem that has a direct effect on males and detracts from efforts to recruit and retain them. At this time in American history (2018), traditionally male-dominated professions are making significant progress toward the goal of a gender-balanced workplace. However, the opposite is not true. Traditionally female-dominated professions are not attracting or appealing to men. In the nursing profession, the number of male nurses is relatively small and has remained relatively fixed over time. Estimates vary between 6-15 percent, with the current average being approximately 11 percent (American Nurses Association, 2014). …

Does The Theory Of Reasoned Action Inform The Willingness Of Individuals Undergoing Genetic Testing To Seek Disclosure Of Incidental Findings Related To The Risk For Alzheimer Disease?, Alisa M. Forrest

Theses & Dissertations

Background: In recent years, researchers have increasingly employed genetic testing as a means for understanding and treating diseases like Alzheimer disease, a common progressive disease affecting cognition and behavior. Genetic studies hold the potential for major breakthroughs in treatment of diseases like Alzheimer disease. However, with the increase in the use of genomewide association, microarray, and whole genome sequencing comes the potential for a greater number of incidental findings in genetic research—findings not central to the aim of a study but nonetheless informative about a participant’s health. Although many studies have documented the ethical implications around disclosure of such findings …

The Experience Of Female Veterans’ Transitioning To Post—Active— Duty Health Care, Sarah A. Bradwisch

Theses & Dissertations

Problem Statement: Female veterans are growing in record numbers and are the fastest growing segment of the veteran population in the United States(U.S.). After discharge from the military, female veterans face a difficult challenge in finding quality, efficient, and gender-specific health care following active duty. The growing number of female veterans in the Department of Veterans Affairs (VA) health care facilities has highlighted gaps in access to care and quality of care for female veterans. Methodology: Interpretive phenomenology was used to better understand the meaning of 11 U.S. female veterans’ experiences. Semi-structured telephone interviews and the analytic approach of Martin …

Millenial Nurses Connecting With Patients In The 21st Century: A Phenomenological Studyh, Heather Caramanzana

Theses & Dissertations

Problem: Millennial nurses are the largest portion of the profession reporting burnout and compassion fatigue. The millennial generation was impacted by the explosion of technology in the late twentieth century. Constant technological stimulation heavily impacted developmental milestones. Early adolescence is a critical time for the abstract development of empathy and compassion. The millennial generation communicates through technology while performing more than one task in a short amount of time, known as multi-tasking. With less time spent at the bedside due to increases in administrative tasks, deficits in the development of empathy and expression of compassion may impact the development of …

Health Information Security And Privacy: A Social Science Exploration Of Nurses' Knowledge And Risk Behaviors With Security And Privacy Issues Focusing On Mobile Device Usage, Keith Richard Weiner

Theses & Dissertations

Background. Health information system security and privacy are critical issues that impact the wide use of the Electronic Health Record (EHR) in healthcare including hospitals, providers and health systems (Breaches Affecting 500 or More Individuals, 2017). These issues have been researched from a technology standpoint in this era of accelerated electronic health record adoption, but less has been done related to the EHR users in the United States. Most of the literature related to security and privacy explores research topics, peripheral and direct, regarding policy adherence mechanisms. Yet to be studied is a social science exploration of nurses’ risk knowledge …

Factors Associated With College Students' Willingness And Readiness To Act In A Food Allergic Emergency, Olga Kagan

Theses & Dissertations

Problem/Significance: Food allergy is a growing public health concern in the United States affecting nearly 15 million Americans. According to FAIR Health (Gelburd, 2017), diagnoses of anaphylactic food reactions increased by 377% nationwide from 2007 to 2016, with 66% among patients 18 years or younger, and 34% in those over 18 years old. Several tragic incidents and lawsuits have occurred on college campuses in recent years raising concerns over the safety of college students experiencing a food allergic emergency. Purpose: The purpose of this quantitative descriptive correlational study is to identify factors associated with college students’ willingness and readiness to …

Maternal Child Health Nurses' Care Of The Opioid Addicted Mother And Infant: A Grounded Theory Study, Alice Marie Nash

Theses & Dissertations

Problem: Opioid addiction in pregnancy is a public health crisis that is growing daily. This increased use of opioids during pregnancy has caused a steady rise in the number of infants born addicted to opioids. Current trends in maternal child heath (MCH) settings encourage mothers and babies to be cared for together. Nurses who work in MCH settings care for the opioid addicted mother and her infant(s) as a single patient dyad. Care required for the opioid-addicted mother-infant dyad (OAMID) presents challenges to maternal-child health (MCH) nurses related to the consequences of opioid addiction.

Purpose: The purpose of this grounded …

The Relationship Of Breastfeeding Self-Efficacy To Breastfeeding Duration And Breastfeeding Exclusivity Of Full-Term Infants In The Neonatal Intensive Care Unit: A Mixed Method Study, Karen Hylton-Mcguire

Theses & Dissertations

Background

Research demonstrates better health outcomes for both women and their infants when infants are breast-fed. There is evidence that an increasing number of full-term, normal birth weight infants are being admitted to the Neonatal Intensive Care Unit (NICU) and that these infants receive less breast milk than their well full-term and preterm infant counter parts. The effect of short-term admission of full-term infants to the NICU on maternal breastfeeding self-efficacy and breastfeeding exclusivity and duration, and the facilitators of and barriers to breastfeeding success reported by these mothers, has not been well explored.

Purpose

The purpose of this study …

Psychometric Evaluation Of The Professional Moral Courage (Pmc) Scale In A Nurse Executive Population, Joanne Connor

Theses & Dissertations

Statement of the Problem The nurse executive must navigate a health care environment with competing priorities and conflicting pressures. The rapid changes and economic demands in healthcare present challenges and ethical dilemmas for the nurse executive. The nurse executive is to be professionally and morally responsible to meet the expectation of the role in accordance with ethical standards of the nursing profession. Professional moral courage is the attribute necessary to influence decisions and actions when advocating for the nurse and the patient, while benefiting the organization. Subsequently, the ability to accurately assess this characteristic is an imperative. The Professional Moral …

The Lived Experience Of Relationship Transition In Significant Others Caring For A Partner With Younger Onset Dementia, Diane Peyser

Theses & Dissertations

Background

Approximately 5% of dementia sufferers are individuals younger than age 65. The majority of studies have focused on individuals with late-onset dementia. The limited studies conducted on caregivers of younger onset dementia individuals identify that they have a different set of needs based upon their unique experiences. Significant others such as spouses frequently fulfill the role of caregiver for a partner with younger onset dementia. Little is known about the lived experience of significant others caring for a partner with younger onset dementia in the context of relationship transition that occurs in this dynamic situation. This study illustrates the …