Medicine and Health Sciences Commons^™

The Effects Of Music On Pain And Anxiety During Intravenous Insertion In The Emergency Department, Paula R. Nichols

Masters Theses

The majority of patients presenting to the emergency department (ED) are anxious and experiencing some degree of pain. Betty Neuman's Neuman system model, provided the theoretical framework to explore and describe the effects of music on the pain and anxiety experienced during peripheral intravenous (IV) insertion in the ED. A convenience sample of 41 subjects completed pain and anxiety visual analogue scales as well as blood pressure and pulse monitoring before and after IV insertion. Twenty-one of those subjects received music during the intervention.

An analysis of covariance was performed for post-procedure pain, anxiety, pulse, and blood pressure. Anxiety was …

The Needs Of Family Members In Crisis, Melanie A. Burghgraef

Masters Theses

The needs of family members of patients with severe brain injury were investigated using a descriptive-correlational design. A convenience sample of family members (N = 23) were surveyed with the Critical Care Family Needs Inventory (CCFNI). Need statements from the CCFNI were rank ordered, and a total score for the CCFNI was calculated. The majority of the top ranked needs consisted of assurance and information needs, which is consistent with other research using the CCFNI. Descriptive statistics were used to compare the results from this study with Lorenz’s study (1995).

Furthermore, this investigation attempted to reveal a relationship between family …

Adolescents' Perceived Importance Of And Satisfaction With Development Needs During Hospitalization, Jaclynn L. Lubbers

Masters Theses

The purpose of this study was two-fold. First, was to examine the relative importance of needs of hospitalized adolescents. Second, was to measure perceived satisfaction with five selected developmental needs. This study was a replication of earlier work by Gusella, Ward, and Butler (1998). A descriptive design was utilized to answer the research questions. Fifteen hospitalized adolescents admitted to the general pediatrics unit provided the data for this study. Data analysis using summative means was performed to rank and compare importance and perceived satisfaction. Adolescents ranked medical information as their most important need during hospitalization followed by mobility, visits from …

The Perceived Quality Of Life In Persons Performing Peritoneal Dialysis, Paula A. Armstrong

Masters Theses

This purpose of this study was to describe the quality of life in patients who independently performed peritoneal dialysis at home for the treatment of end stage renal disease.

A descriptive design was conducted using the Ferrans and Powers Quality of Life Index-dialysis version. A convenience sample of 31 patients from a Midwest dialysis facility participated in the study Subjects were asked to rate their level of satisfaction and the level of importance of 35 aspects of life. The reported quality of life was reported to be satisfactory There was a moderate positive correlation between the time on dialysis and …

Advanced Practice Nurses' Knowledge And Attitudes On Pain And Pain Management, Joann E. Baar

Masters Theses

The purpose of this study was to examine the knowledge and attitudes of advanced practice nurses regarding pain and pain management, and to determine if a relationship existed between education, experience, clinical specialty, and recent educational sessions on pain management, and scores on the Nurses’ Knowledge and Attitudes Survey. The convenience sample consisted of 78 advanced practice nurses or advanced practice nursing students in west Michigan. Data were collected via the use of mailed questionnaires. Dorothea Orem’s self-care deficit theory of nursing provided the theoretical framework for this study.

No significant differences in scores were found among those with different …

Mental Health In Oldest-Old Adults: An Investigation Of Self-Transcendence, Marsha Luchtman Harrison

Masters Theses

This study explored Reed’s theory of self-transcendence as a potential developmental resource and correlate of well-being within the long term care population. Self-transcendence is a healthy maturation process of expanding one’s conceptual boundaries inwardly through increased self-understanding; outwardly through investing in relationships with others and the environment; and/or temporally by integrating perceptions of one’s past and future in a way that enhances the present. A descriptive correlational research design examined the level of self-transcendence and the relationship of self-transcendence to depression among nursing home residents. The sample of 51 oldest-old adults ranged from 80 to 103 years old.

Participants were …

Perceived Health Status, Preventive Health Behaviors, Formal Education, And Potential Barriers To Health Care In A Rural Population, Tori Renee Gaultier

Masters Theses

The purpose of this study was to examine preventive health behaviors, perceived health status, level of formal education, and potential barriers to health care in a rural northern mid-westem state using Leininger’s Cultural Care Theory. A short questionnaire was designed to identify factors that may influence health for rural residents. The sample consisted of 159 adults. The questionnaires were hand delivered to 299 randomly selected homes. Analysis was performed using descriptive and Chi-square statistics. The results supported an association between fewer preventive health behaviors and more potential barriers to health care (χ₂ = 36.72, p < .001). A higher level of formal education was associated with higher perceived health status (χ₂ = 13.99, p < .001). Potential barriers to health care were not found to be associated with lower perceived health status.

The Correlation Between Quality Of Life And Social Support One Year After Coronary Artery Bypass Surgery, Sarah S. Arnold

Masters Theses

A descriptive correlational design was used to examine the relationship between the level of social support and the perceived quality of life (QOL) of the patient following coronary artery bypass surgery (CABS) one year after the procedure. A total of 212 surveys were sent to the homes of former patients admitted to a mid-western hospital and 90 were returned. The Personal Resource Questionnaire (PRQ-85) was used to measure social support and the Quality of Life Index-Cardiac Version (QLI) was used to measure QOL.

The hypothesis of the study asserted that there was a positive correlation between the level of social …

Efficacy Of Zinc Supplementation In Reducing The Incidence Of Recurrent Vaginitis, Bonnie R. Bartz

Masters Theses

The purpose of this study was to evaluate the efficacy of zinc supplementation in reducing the incidence of recurrent bacterial vaginosis (BY) and vulvovaginal candidiasis (W C ). Forty-one subjects were selected from researcher’s patients based on at least two episodes of vaginitis in a six-month period. A control group (placebo) and an experimental group (30 mg zinc gluconate) were randomly formed from this selection.

Evaluation of vaginitis status was accomplished through wet mounts, pH test, and KOH whiff tests at the initial, 3, and 6-month intervals. Subjects sought treatment for vaginitis when symptomatic.

A t-test analysis showed no statistically …

Is There A Relationship Between Stages Of Change And Perceived Self-Efficacy Related To Exercise Among Low Risk Pregnant Women?, Rebecca Weiner

Masters Theses

The theoretical framework used for this study was based on Prochaska and DiClemente’s (1983) Transtheoretical Model. The purpose of the study was to determine if there is a relationship between stage of change (pre-contemplation, contemplation, preparation, action, maintenance) and perceived self-efficacy regarding exercise among low risk pregnant women. Data was obtained through a survey of 140 low risk pregnant women from two private obstetricians’ offices. Participants were between 18 and 43 years old and primarily Caucasian (75%) and high school educated (85%). Each participant was successfully categorized into a stages of change based on their reported exercise behavior. The levels …

Evaluation Of The Effect Of Home Care Interventions On The Self-Care Agency And Hospital Readmission Rate Of Patients With Congestive Heart Failure, Patricia K. Rau

Masters Theses

Congestive heart failure (CHF) is prevalent and patients with CHF incur costly hospital readmissions. It is crucial to reduce rehospitalizations and improve self-care in these patients. This blind experimental study based on Dorothea Orem’s self-care deficit theory evaluated two nursing interventions provided to 49 home care patients with CHF from 42 to 94 years of age in western Michigan. The study results were drawn from a larger longitudinal study in progress by researcher Dr. Kay Setter-KIine, RN. PhD. One group received supportive-educative interventions and the other received placebo interventions. The study sought to determine if supportive-educative nursing interventions improved medication …

The Relationship Between Grandparent Caregiver Reactions And Support Group Participation, Karen F. Rishel

Masters Theses

The purpose of this study was to determine if there was a relationship between support group participation by grandparent caregivers and reactions to their care-giving situation. There were 25 grandparents primarily Caucasian, and from rural areas or small towns. All were high school graduates and nearly half attended college. A descriptive correlational design was used, and the conceptual framework was Dowdell's adaptation of Given's model on caregiver strain.

No correlations were found that were statistically significant between the number of groups attended and the sub-scales of Given's Caregiver Reaction Assessment. This may have been related to the sample size. Although …

The Health Belief Model And Self Breast Examination In Nurses, Valerie L. Holwerda

Masters Theses

The relationship between frequency of self breast examination and health belief model variables was assessed using a convenience sample of nurses. The self-administered survey measured perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, health motivation, and confidence on 5-point Likert-type scales previously developed by Champion (1993). Individual items measured the frequency of self breast examination and demographic variables. Correlational statistics were used to determine relationships. The results of the data analysis using the Spearman correlation found that perceived benefits (p=.027), health motivation (p=.0289) and confidence (p=.008) were positively correlated with frequency of self breast examination. Perceived barriers (p=.0002) were negatively …

Neonatal Intensive Care Nurses' Perceptions Of Participation In Ethical Decision Making In The Care Of Imperiled Newborns, Dennis W. Philpott

Masters Theses

The purpose of this descriptive correlational study was to empirically examine the extent of Neonatal Intensive Care Unit (NICU) nurse participation in the ethical decision making process. The study also examined the relationship of nurse participation and satisfaction in ethical decision making to age, years of experience, level of education, and religious participation. This study attempted to describe what NICU nurses believe their role should be in the ethical decision making process. Koblberg’s theory of moral development was the theoretical framework. Data were obtained through the use of a survey mailed to Registered Nurses employed in a level III NICU. …

The Effectiveness Of An Education Intervention Related To Knowledge Increase Among Adolescents Regarding Dietary Calcium And Prevention Of Osteoporosis, Deborah K. Fast

Masters Theses

The purpose of this study was to assess the effectiveness of an educational intervention for 6th - 11th grade adolescents regarding dietary calcium and the prevention of osteoporosis. This was a secondary analysis of data from a study that used a pre-experimental pre-test-post-test; no control group design. Eighty-two boys and 102 girls completed the Healthy Bones Knowledge Questionnaire (HBKQ) as a pretest, received an educational intervention based primarily on dietary calcium intake, then completed the questionnaire again as a post-test.

As a group, the students demonstrated a significant increase in correct answers to calcium-related HBKQ items (t = 3.31, p …

The Effects Of Mutual Goal Setting On Fourth-Graders' Adherence To The Food Guide Pyramid Recommendations, Jacquelyn S. Kiefer

Masters Theses

The purpose of this study was to determine if, at the conclusion of a two week nutrition program, students involved in mutual goal setting would exhibit more positive nutrition behaviors than students not involved in mutual goal setting.

Pre-test 24-hour dietary recalls were collected on the experimental group (n = 18) and the control group (n = 19). The experimental group and the investigator then mutually set goals related to dietary practices. Both groups received nutrition education (4 classes). At the conclusion of the education and the mutual goal setting intervention, post-test 24-hour dietary recalls were collected. The data were …

Relationship Of Osteoporosis Knowledge And Perceived Susceptibility To Osteoporosis Among Hispanic Women, Johannie M. Troncoso

Masters Theses

The purpose of this descriptive study was to examine the relationship of osteoporosis knowledge to perceived susceptibility to osteoporosis among Hispanic women. The Health Belief Model (Rosenstock, Strecker, & Becker, 1994) was the theoretical framework for the study. Data were collected from a convenience sample of 54 Hispanic women, ages 18 years and older, from two different areas in a Mid-Western state. The final sample, based on the inclusion criteria, constituted 41 subjects. The participants completed the Osteoporosis Knowledge Test (OKT) developed by Kim, Horan, and Gendler (1991) and the Osteoporosis Health Belief Scale (OHBS) also developed in 1991 by …

The Influence Of Support Systems And Internal System Resources On Family Well-Being Of Caregivers Of A Depressed Family Member, Diane K. Richardson

Masters Theses

Health professionals are interested in families who have a high level of well-being in spite of coping with the difficulties related to caring for a depressed elderly family member at home. The Resiliency Model of Family Stress, Adjustment, and Adaptation provided the conceptual framework to explore the hypothesis of a positive relationship between family social support and family well-being, and family internal system resources and family well-being. Thirty caregivers volunteered and were interviewed in their homes using the Family Crisis Oriented Personal Scale (F-COPES), the Family Hardiness Index (FHI), and the Family APGAR. Although weak, positive correlations were noted for …

Effects Of Three Training Components In An Aac Intervention For An Adult With Severe Broca’S Aphasia, Bradley Josef Hendershott

Dissertations and Theses

Individuals with severe nonfluent aphasia may lose functional verbal communication. With the loss of fluent speech, one may also lose the capacity to share in the casual conversation that enriches our lives. A rehabilitative course that seeks to stimulate restoration of verbal abilities can be lengthy with uncertain outcomes. Fortunately, Augmentative and Alternative Communication (AAC) interventions have shown promise in treating aphasia by providing non-verbal means of communicating. Communication aids designed around specific topics and comprised of words and pictures have been used by persons with aphasia to participate in conversations. Such aids have shown promise in facilitating successful conversation …

An Evaluation Of Earobics I In Improving Phonological Awareness In 6- And 7-Year-Old Boys Who Are At-Risk For Reading Disabilities, Wendy Goughnour Gunter

Dissertations and Theses

Earobics Pro PLUS Step I (Earobics I) is a software program designed to increase the auditory processing and phonological awareness skills of children when used in conjunction with traditional intervention. Phonological awareness is the ability to manipulate the sounds of a language and has been shown in previous studies to have a strong relationship with reading ability. Phonological awareness can be taught, and studies have been conducted in an effort to determine effective methods for teaching phonological awareness. No studies have been published on Earobics I to this date.

In this study, the effectiveness of Earobics I was analyzed with …

The Relationship Between Perceived Clinical Decision Making Ability And Medication Dosage Calculation Ability Of Registered Nurses., Lynn Marie Stover

All ETDs from UAB

No abstract provided.

Predictors Of Self -Care Agency Among Community-Dwelling Older Adults., Mary Anne Martin White

All ETDs from UAB

No abstract provided.

Attention Deficit Disorder, Attention Deficit Hyperactivity, And Depression, Jeanne Marie Goacher

Theses

The purpose of this study was to examine the prevalence of depression that is going untreated in adolescents with an Attention Deficit Disorder (ADD) or an Attention Deficit Hyperactivity Disorder (ADHD) diagnosis. This study included high school age students (grades 9-12) who either had a diagnosis of ADD or ADHD, had never been diagnosed with depression, and who have never been treated for depression and another group who did not have a diagnosis of either ADD/ ADHD or depression. After obtaining parental permission, through a questionnaire format, the students were given the Beck Depression Inventory. A Chi-Square was performed to …

The Effect Of Binaural Auditory Beats On The Anxiety And Psychological Hardiness Levels Of Graduate Students, Terry L. Moore

Theses

Three graduate students from a Midwestern urban university were selected from a pool of volunteers based on elevated levels of anxiety. The students were initially tested using the Self-Evaluation Questionnaire and Hardiness Scale. Students were provided with audio tapes using binaural beats. Each Self-Evaluation Questionnaire score was tracked for the purpose of determining the affect of the audio tapes on levels of anxiety and hardiness. All three students showed reduced levels of anxiety after using the tapes, with either a similar or higher level of Hardiness.

The Redesignment Of An Acute Inpatient Dual Diagnosis Unit, Irene Harris Griggs

Theses

This project will focus on the study of mental illness and chemical abuse/dependence as it has progressed into the entity of dual diagnosis or what experts consider co-existing or co-occurring disorders.

Research has revealed the increase in the number of individuals suffering from co-occurring illnesses since the early 1980's. Because this condition has become the norm rather than the exception, it becomes necessary to focus more clearly on individuals that are diagnosed with this illness and on the most effective treatment in order to assist the individual in recovery.

Individuals have had co-existing or co-occurring disorders prior to the early …

Are Eating Disorders: Anorexia Nervosa, Bulimia And Binge Eating Genetically Caused?, Lurlena A. Burnett

Seton Hall University Dissertations and Theses (ETDs)

No abstract provided.

The Impact Of Cultural Sensitivity Training On Filipino Nurses As Measured By Alterations In Caring Behaviors, Mary Beth Russell

Seton Hall University Dissertations and Theses (ETDs)

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Models Of Medical Malpractice In Jewish Law, Brian Howard Galbut

Yale Medicine Thesis Digital Library

Medical malpractice is largely a product of the modem era. Consequently, one might suppose that ancient sources have little to add to any meaningful discussion of the topic. Yet, numerous models and precedents directly or indirectly applicable to malpractice surface in the vast body of traditional Jewish literature of the last two millennia. These sources can lend profound insight for the physician - and others - grappling with issues of moral and legal responsibilities related to care of patients and malpractice. This thesis will first catalogue the various types of immunities, and qualifications for those immunities, granted by Jewish law …

Gas Chromatographic-Mass Spectrometric Analysis Of Captopril And Its Application In Pharmacokinetic Studies In Healthy Subjects, Zamri Chik

Student Works (2000-2009)

Captopril is a highly specific competitive inhibitor of the angiotensin-convening enzyme (ACE). This enzyme converts angiotensin I, a relatively inactive decapeptide, to angiotensin II , a potent endogenous vasoconstrictor substance. Captopril is widely used for the treatment of hypertension and congestive heart failure. This drug, which contains a sulphydryl group binds readily to albumin and to other plasma proteins. Captopril is unstable in blood and plasma ex vivo because of the reactivity of sulphydryl group which results in oxidation and rapid formation of disulphides. Therefore a fixative or a stabiliser must be added to each blood sample immediately following collection. …

Clinical Waste Management In The Northern States Of Peninsular Malaysia, Sabah And Sarawak, Abdul Hai Akbar Ali

Student Works (2000-2009)

Clinical waste management and disposal methods are quite unique due to their infectious and harmful nature. Unlike municipal waste, clinical waste is pathogenic which jeopardizes the biotic community including human beings, if not quelled of its pathogenic effect.. However, shortcomings or drawbacks are still possible in areas of source separation. inappropriate containment and labeling. Improper incineration may also lead to incomplete combustion ultimately leading to air pollution. Though existing system of clinical waste disposal and management in Malaysia seem adequate, still efficient and cost effective mechanisms are needed. The focus of this research is to survey and study the administrative …