Medicine and Health Sciences Commons^™

Identification Of Barriers To Adherence To Prescribed Schedules For Self-Monitoring Of Blood Glucose, Victoria E. Sawhill

Masters Theses

The purpose of this descriptive study was to identify barriers to adherence to prescribed self-monitoring blood glucose (SMBG) schedules. Data were collected from a convenience sample of 40 diabetic patients from a rural northern Michigan community, ages 18-84, who completed the modified Barriers to Self-Monitoring Blood Glucose Scale (BSMBG) (Jones, Remley, & Engberg, 1996). The study’s theoretical framework was the Health Belief Model (HBM) (Rosenstock, Strecher, & Becker, 1994).

The modified BSMBG scale had a reliability coefficient of 0.95 using Cronbach’s alpha. Individual barrier scores were varied indicating a need for individualized assessment of barriers to SMBG. Data analysis demonstrated …

Factors Involved In The Decision To Utilize The Emergency Department For Health Care, Teri R. Simpson

Masters Theses

The purpose of this study was to investigate the reasons people choose to use the Emergency Department (ED) for health care. Roy's adaptation model was used as the conceptual framework for this study. A convenience sample of patients were interviewed during one weekday eight hour period. The interview addressed such factors as reason for visit, age, race, gender, living situation, income, and health insurance provider. Data analysis using descriptive methods revealed the person most likely to choose the ED for health care is a Caucasian female in her early twenties with a median income of $15,000. She is a blue …

Relationship Between Pulse Oximetry Measurements And Admission To A Hospital In The Wheezing Pediatric Population, Christine K. Dunnuck

Masters Theses

The purpose of this study was to assess the usefulness of pulse oximetry measurements as an objective measure of the severity of wheezing in pediatric emergency clients as demonstrated by subsequent admission. An ex-post facto study design with a retrospective chart review was used. Subjects (n=198) ranged in age from one month to 17 years. Consecutive admissions and random sampling of those discharged were used. Hypotheses were: (a) lower initial pulse oximetry measurements would increase the likelihood of admission and (b) younger patients would be admitted with higher pulse oximetry measurements.

Chi-square analysis and one way ANOVA statistical testing demonstrated …

Gender Differences In Importance Of Stroke Health Beliefs In Timing Of Seeking Treatment For Acute Stroke Symptoms, Brenda S. Nyenhuis

Masters Theses

The purpose of this study was to describe gender differences in importance of stroke health beliefs in timing of seeking treatment for acute stroke symptoms. The data came from a larger study titled ‘Discovering Factors Related to the Timing of Seeking Health Care for Acute Stroke Symptoms” (ODonnell, Roberts, Ruhlandt, & Baer, 1999). The current study included 51 subjects who were asked to rate the importance of 13 belief statements on their decision to seek treatment. The Health Belief Model (HBM) was the conceptual framework for this study.

Data were analyzed using frequencies, percentages and Mann-Whitney U. There were no …

The Effects Of Role-Play And Simulation As Pregnancy Prevention Strategies On Knowledge And Attitude Of African-American Adolescents In An Urban Community, Laura B. Moody

Masters Theses

This quasi-experiment study tested the effectiveness of a simulation program on African American adolescent females’ attitude toward having a baby and their knowledge of risk factors associated with pre-marital sex. The experimental group (n=15) participated in Baby Think It Over (BTIO), a program using infant simulators (computerized dolls) and a didactic program - Saving Ourselves (SOS) and the Next Generation. The control group (n=15) was selected from a Black church.

The experimental group didn't significantly increase their attitude or knowledge scores and was not significantly more knowledgeable than the control group on post-testing. They did have significantly more realistic post-test …

Patient Perception Of The Role Of The Nurse Practitioner In Primary Care, Betsy J. Mulder

Masters Theses

As nurse practitioners (NP) provide services to a variety of health care consumers, there remains ambiguity regarding their scope of practice. This descriptive, comparative study asked a convenience sample of patients who have had contact with nurse practitioners (n = 56), and those patients who have had no contact with nurse practitioners (n = 51), to indicate their agreement with the appropriateness of behaviors for the NP role. A questionnaire used by Bambini (1995) was modified for this study with an alpha reliability of .95. Perceptions of behaviors were ranked according to the level of perceived appropriateness. None of the …

The Effect Of An Initial Clinical Nursing Experience In A Nursing Home On Associate Degree Nursing Student Attitudes Toward The Elderly, Rita Lareau

Masters Theses

The purpose of this study was to examine the change in associate degree nursing (ADN) students’ attitudes toward the elderly following an initial clinical nursing experience in a nursing home. The Neuman Systems Model (Neuman, 1995) was the conceptual focus for the research. A convenience sample of ADN students in a basic nursing care clinical course at a community college was used. The Kogan Attitudes Toward Old People Scale (Kogan, 1961) was utilized to assess student attitudes toward the elderly. A pretest was administered at the beginning of the course prior to the nursing home experience, and a post-test was …

Quality Of Life Of The Hemodialysis Patient, Tammy Bronson

Masters Theses

There are over 250,000 people currently afflicted with end-stage renal disease and the number is rising every year. Although kidney transplant is the treatment of choice, lack of viable organs limits this option. Hemodialysis is the most common treatment modality for end stage renal disease. Quality of care is continuously monitored by physicians, nurses and dietitians, however there is also the need to examine the quality of life of the hemodialysis patient. This study replicated the works of Ferrans and Powers (1993).

Overall quality of life and four sub-scales (health and functioning, social and economic, psychological/spiritual, and family) were evaluated …

The Experience Of Nurse Practitioners With Peer Support: A Phenomenological Study, Carol J. Prinzo

Masters Theses

As nurse practitioners move into non traditional roles they sometimes lack a social and professional support. Lack of peer support can cause a feeling of isolation and frustration for advanced practice nurses.

The purpose of this phenomenological qualitative study was to discover the lived experience of nurse practitioners with peer support. Four nurse practitioners described their experiences. These descriptions were analyzed for meaning using the Girogi method.

Four common themes emerged: support throughout the educational process, professional support, support from family and friends and frustration. The description of peer support was unique according to level of experience, practice setting and …

Unplanned Hospitalization Of A Child: Perceptions Of Stress, Family Life Events, And Coping Resources, Jennifer Lee Moes

Masters Theses

The purpose of this study was to identify the parental perceptions of family stress, family life events, and coping strategies of a family whose child is hospitalized in the pediatric unit.

A descriptive correlational design with a non-probability convenience sample consisted of 30 parents or primary caretakers of a child who was hospitalized in pediatrics. Data was obtained with three instruments; 1) demographic questionnaire assessing current perceived stress of the family, 2) Family Inventory of Life Events (FILE); and 3) Family Crisis Oriented Personal Evaluation Scales (F-COPES).

Data analysis included three correlations between (a) pile-up and perceived family stress, (b) …

Conjugated Bilirubin Measurement Re-Examined: A New 'Approach'., Aidan Kelleher

Theses

Conjugated bilirubin is an important but difficult metabolite to measure accurately, elevated levels of conjugated bilirubin in the serum are indicative of obstructive jaundice and therefore can be used to discriminate this disorder from other forms of unconjugated hyper bilirubinaemia.

The Influence Of Health Care Service Quality On Patient Satisfaction, Mary Ann Hackmeister

Theses

This thesis will concentrate on the delivery of health care services and the influence the level of service quality has on patient satisfaction.

The health care industry continually experiences changes. but the changes that have occurred over the past five to ten years have occurred quite rapidly. These changes have altered the way that patients view delivery of health care services. Those within the industry itself, including physicians, administrators. and staff members, have been faced with many challenges.

From a competitive standpoint alone, today's health care environment is drastically different from the previous decade. Declining revenues for the health care …

The Knowledge Of Dementia Among Nursing Staff Working In Special Care Units, Julia M. Gray

Theses

Dementia is a growing concern among the elder population. Special Care Units in long-term settings are becoming common placements for elders with dementia. The nursing staff within Special Care Units ideally have additional training in dementia. The purpose of this thesis is to examine the knowledge of dementia among nursing staff working in Special Care Units.

A Factual Review Of How Nursing Homes Are Accommodating The Elderly With Mental Illness, Martha L. Straughter

Theses

Thanks to improved drugs, diet and medical treatment, America's population is living longer than ever. While this is certainly a good occurrence, there are problems arising from it. Experts are seeing that many of these elderly people have a variety of mental illnesses. These illnesses have either been with the individual since youth, are the result of a deteriorating mind. State hospitals and other mental health facilities are unable to provide continuous, long-term care for the large number of elderly affected with these unfortunate illnesses.

This thesis will address this complex, ever-growing, issue in three parts by identifying and defining …

Is Old Bridge High School Meeting The Needs Of All Students' Knowledge With Respect To The Hiv/Aids Curriculum?, Dawn Forgerson

Seton Hall University Dissertations and Theses (ETDs)

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An Investigation Of Professional Supervisor And Supervisee Development, Joseph Charles Bencivenne

Seton Hall University Dissertations and Theses (ETDs)

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Study Of The Molecular Basis Of Diabetic Retinopathy, Heather Christine Glasscock-Hatcher

MUSC Theses and Dissertations

Abnormalities of the retinal vasculature contribute significantly to the development of diabetic retinopathy. In this study we have focused on two mechanisms which may be responsible-for the development and progression of this diabetic complication. Chronic hyperglycemia is associated with many of the vascular complications of diabetes mellitus; therefore, we examined mechanisms by which high-dose glucose damages retinal capillary endothelial cells. Our cell count results showed that high-dose glucose induces cell death in primary cultured human retinal capillary endothelial cells. Flow cytometry, in situ cell death detection, and transmission electron microscopy revealed that the cell death occurred via the apoptosis pathway …

Compliance With Components Of Universal Precautions Guidelines: Using Peer Feedback Program As A Cue To Action Among Health Care Workers In Thailand., Wanchai Moongtui

All ETDs from UAB

No abstract provided.

Health Promotion Behaviors In Midlife Women In Alabama., Mona Lynn P Lester

All ETDs from UAB

No abstract provided.

Smoking : An Exploration Of Message Framing And Death Anxiety, Ian James Parker

Theses : Honours

The focus of this thesis is the replication and extension of research by Tversky and Kahneman (1981) who found that how a message is worded or framed can significantly affect decisional choice. Tversky and Kahneman (1981) demonstrated that a message framed in terms of "lives saved" was favoured over one which read "lives lost" notwithstanding that the net sum of survivors was equal in both instances. The authors referred to the effects of message framing on decision making as Prospect Theory. This thesis studied Tversky and Kahneman's (1981) research applied to the issue of smoking. The preference for a positive …

Increased Solar Ultra Violet Radiation And Possible Links To Health Effects In Nunavut, Shaun Greig Carson

Theses and Dissertations (Comprehensive)

Ultra violet radiation (UVR) is believed to be linked to many health problems, and numerous studies have been conducted on Caucasian populations at all latitudes. Nunavut, in the Canadian Arctic, comprises approximately one fifth of Canada's land mass and has a scattered population, the majority of which (over 70%) is Inuit. Nunavut also possesses a unique physical geography, as well as culture, which may result in its population being at great risk from UVR Very little research has been conducted in Nunavut on the affects of increased solar UVR and possible links to health. This thesis has compiled baseline data …

A Study Of Licensed Physical Therapists' Knowledge Regarding Current Legislative Issues, Jennifer Moine, Alexis Snyder, Susannah Steele

Masters Theses

The purpose of this study was to determine the amount of knowledge licensed physical therapists have regarding certain legislation at the state and federal levels. Potential relationships between degree of knowledge and therapist characteristics such as age, number of years in practice, and professional membership were also examined. A survey instrument was mailed to a random sample of licensed physical therapists in the state of Michigan.

Results indicated that licensed physical therapists who were members of a committee within the APTA, or held office in the organization had significantly more knowledge than physical therapists who did not (alpha=0.05). Being a …

Reporting Misconduct : A Descriptive Study Of Whistleblowing In Nursing, Sally Mcdonald

Theses: Doctorates and Masters

This research examined the effects of whistleblowing and non-whistleblowing on nurses in Western Australia. A descriptive survey design was used to explore the physical, emotional and professional effects experienced by nurses who blew the whistle and nurses who did not blow the whistle on misconduct. This study also examined the effective and ineffective coping behaviours reported by participants. A questionnaire was developed based on Lazarus and Folkman's Stress/Coping model and mailed to 500 nurses in Western Australia. Of these, 100 returned the completed questionnaire, indicating a response rate of 20%. Ninety-five respondents wereincluded in the study; 70 were self-identified as …

A Phenomenological Study Of Clinical Decision Making By Flight Nurse Specialists In Emergency Situations, Dale M. Pugh

Theses: Doctorates and Masters

Clinical decision making is an integral, multifaceted phenomenon fundamental to nursing practice. The domain of flight nursing practice is unique in terms of knowledge, structure, clinical presentations and environment. The uniqueness and diversity of patient scenarios and the advanced practice level of the flight nurse role blend to provide a potential rollercoaster flight mission. At the time this research was conducted nursing standards to guide clinical decision making were being developed. Medically orientated clinical guidelines were in place, but they were designed to highlight a specific, well defined clinical scenario or skill. It has been argued that guidelines for nursing …

A Comparison Among Older And Younger Caregivers Of Physically Disabled Adults And Their Ability To Handle Stress, Traynette Jenkins-Reese

Theses

This study was designed to determine if there was a significant relationship in the level of caregiver burden and age. Participants consisted of thirty-three individuals who considered themselves to be the primary caregiver for a physically disabled or elderly family member. These thirty-three volunteer caregivers were drawn from those who had a disabled or frail family member receiving services from a local agency. The subjects were asked to complete Zarit's Caregiver Interview Questionnaire. The findings in the study did not produce significant levels to justify rejecting the null hypothesis or to show that there is a relationship between the caregiver's …

The Association Of Fluid Intake With Total Natural-Cause Mortality, Coronary Heart Disease And Fatal Stroke, Jacqueline Chung Lun Chan

Loma Linda University Electronic Theses, Dissertations & Projects

Hypohydration may be more widespread than realized since it does not always arouse a sense of thirst. When thirst is felt, it is often ignored, or satisfied before euhydration is achieved. There is growing evidence indicating that hypohydration contributes to acute and chronic illnesses, and to rheological factors associated with coronary heart disease (CHD) and stroke. Therefore the relationship of fluid intake with risk of total natural-cause mortality, CHD and stroke death was examined using data on 34,192 white, non-Hispanic participants in the Adventist Health Study.

Among the 27,342 reporting no CHD, stroke or diabetes at baseline, during six years …

Body Weight And Mortality Among Adults Who Never Smoked, Pramil N. Singh

Loma Linda University Electronic Theses, Dissertations & Projects

Most prospective studies identify an increased mortality risk for adults of high body mass index (> 27 kg/m²) that is commonly attributed to the effects of excess body fat, and also identify an increased mortality risk for adults of low body mass index (< 21 kg/m²), an association that, if causal among healthy adults, is without adequate pathophysiologic support.

In this dissertation, I have conducted three studies that continue the investigation of adiposity in relation to mortality among never-smoking adults of the California Seventh-day Adventist population. Among never-smoking adults of the Adventist Mortality Study (1960-1985), the relation between …

Paraplegic Functional Ambulation With Long Leg Braces And Upper Extremity Support: Predicting Long Term Usage Patterns Utilizing The Functional Independence Measure, Karin Copenhaver, Matthew Sherman

Masters Theses

Individuals with a spinal cord injury (SCI) are frequently taught to ambulate with long leg braces and upper extremity support during their post-acute rehabilitation. In many cases this training fails to carry over once these individuals return to their homes after their rehabilitation course has ended. Subsequently, these individuals rely on their wheelchair as their primary mode of ambulation. Is ambulation training an expropriate intervention for patients in these cases? The purpose of this study was to investigate whether utilization of the Functional Independence Measure (FIM) may serve as a predictor of long term functional ambulation with long leg braces …

The Contribution Of Interaural Intensity Differences To The Horizontal Auditory Localization Of Narrow Bands Of Noise, Matthew H. Bakke

Dissertations, Theses, and Capstone Projects

Brief bursts of third-octave bands of noise (center frequencies at 0.5, 1.0, 2.0 and 4.0 kHz) and band pass noises with different degrees of low-frequency content (0.5 to 4.0 kHz, 1.0 to 4.0 kHz and 2.0 to 4.0 kHz) were recorded binaurally from 17 different horizontal locations (90 degrees on the left to 90 degrees on the right in 11.25 degree steps) one meter from the ears of an anthropomorphic mannequin (KEMAR) in an anechoic room and a reverberant room. The recorded sounds were processed by attenuating or removing interaural intensity differences and presented to five normally hearing subjects through …

General Practitioners And Depression In Older Adult Males : Ageism, Physical Problems And Treatment, Gary M. Duggan

Theses : Honours

Depression in older adults can have fatal consequences if undetected and not treated. Comparisons of studies are difficult because of the lack of methodical consistency. The literature is reviewed with regard to the definition, prevalence, consequences, recognition, treatment and prognosis of depression in relation to general practitioners (GPs) and with particularly regard to elderly males. The research indicates poor recognition and treatment of depression in older adults, despite the research indicating that older adults have a similar prognosis as younger adults, when the depression is treated. Factors influencing the detection of depression are included.