Medicine and Health Sciences Commons^™

Critical Thinking In Associate Degree Nursing Education, Nancy Tucker

Dissertations

Problem. This study sought to investigate the level of critical thinking (CT) of the associate degree in nursing (ADN) students and the relationship of CT and clinical judgment (CJ) with selected pre-admission and exit variables.

Method. A convenience sample of 112 ADN students (79 generic, 33 non-traditional) at a small, private liberal arts college on the West Coast participated in this exploratory study. The California Critical Thinking Skills Test (CCTST) was used to measure the level of CT, and CJ was measured using the Clinical Decision Making in Nursing Scale (CDMNS). Differences between the generic and non-traditional groups were explored …

The Reflective Process In Nursing Clinicals Using Journaling And Dialogue, Rita Van Horn

Dissertations

Method. Two case studies describe the experiences of (1) 17 students who worked individually in the hospital clinical setting and who answered specific questions about problem solving in a written journal and (2) 20 students who were paired in the clinical setting and who answered the same questions together in a journal shared by the pair. In both case studies the experience was 9 weeks. The written journal questions were designed around a problem-solving process and thoughts and feelings about the clinical experience. A rubric adapted from Boud, Koegh, and Walker’s (1985) reflective model was used to analyze the journal …

Art And Body Image : A Journey Through Anorexia Nervosa And The Implications For Art Therapy Rituals, Peta Horrex

Theses: Doctorates and Masters

This thesis examines the experience of body image and self image are for a sufferer with the eating disorder anorexia nervosa. Themes and symbols are explored and interpreted in art work that was produced in six session of individual art therapy. The sessions were designed to deal with issues and problems that had been discussed previously, or that became relevant during each session. The study is conducted from an interpretive perspective. It concentrates on the transference of the internal unconscious in the artwork created by, Michelle, who suffers from anorexia nervosa. The interpretation is from a western art therapy and …

Centred Voices : A Study Of The Lived Experience Of Women's Health Centre Coordinators, Jodie L. Moyle

Theses: Doctorates and Masters

The purpose of this phenomenological study is to explore and describe the lived experience of women's health centre coordinators. In addition to the intrinsic value of telling these women's stories, this research provides data which can he used to strengthen the economic, political, organisational and social position of women’s health centres and the women who work in them. Four women managers from regional urban women's health centres in Australia were interviewed about their subjective experiences with respect to their current working roles. Interviews were audio taped, transcribed and coded to produce themes and to preserve anonymity. Data was analysed using …

The Effect Of Nursing Interventions On Thermoregulation And Neuromotor Function In Very Low Birthweight Infants, Leanne Monterosso

Theses: Doctorates and Masters

The prone position is used routinely in neonatal intensive care units worldwide in the nursing of preterm infants because of reported beneficial psychological effects This position can, however, lead to development of flattened posture very low birthweight (VLBW) infants and contributes to both short and longer term implications for functional motor development of upper and lower extremities. To date limited research has been undertaken to investigate methods of reducing flattened posture and its related negative outcomes temperature instability is also a problem for VLBW infants and no nappy exists that meets postural size and thermoregulation requirements. The purpose of this …

The Art Of Healing : A Journey Through Cancer : Implications For Art Therapy, Carmen Zammit

Theses: Doctorates and Masters

This thesis is designed to investigate how art assisted in the healing process of a person suffering from a life threatening illness. The research method used is a clinical case study. This study is a form of evaluative research, a systematic data-based inquiry concerning the participant's engagement with art in her healing process, a process which unfolds as being both life affirming and spiritually enriching. This case study takes a qualitative approach, with its emphasis on the participant's own account of her behaviour. The participant is a fifty-three year old woman, a psychiatrist and psychotherapist, who was diagnosed with multiple …

A Revision Of The World Health Organisation Psychiatric Disability Assessment Schedule, Daniel Rock

Theses: Doctorates and Masters

The burden schizophrenia places on the individual, on the family and on society in general is determined more by the associated disability rather than the manifest symptoms. Therefore, measurement of disability provides a baseline for evaluating change and directing treatment. This research has two main aims. The primary purpose of this study was to develop and validate a contemporary revision of the World Health Organisation-Psychiatric Disability Assessment Schedule (1988). Data used was based on data from the WHO Collaborative Study on Determinants of Outcome of Severe Mental Disorders (Sartorius et al., 1986). The second aim of this study was to …

Colour Perception: A Phenomenological Study Into People's Spontaneous Physical, Psychological, Emotional And Spiritual Reactions, Through Experiential Use, To Colour, Nicolette Smith

Theses: Doctorates and Masters

The predominance of colour as a therapy is becoming more apparent in our culture at present. It is a well-known fact, which has been thoroughly documented, that colour affects our senses in many ways and on many levels. Colour is considered to possess a healing element. A phenomenological study will be conducted to investigate people's spontaneous physical, psychological, emotional, and spiritual reactions to colour. This will be explored through the experiential use of colour by the participants. The use of a pre-test questionnaire, post-test questionnaires, observation and de-briefing will be the main research instruments. A pilot study will be used …

The Development And Preliminary Evaluation Of A Self-Administered Screening Instrument For First Rank Symptoms And Basic Symptoms In Psychotic And Non Psychotic Disorders, Borghild Bo

Theses: Doctorates and Masters

The assessment of psychopathology is fundamental to clinical psychiatry. Schneider's (1959) First Rank Symptoms (FRS) are an integral part of numerous diagnostic criteria and Huber's Basic Symptoms (BS) are thought to form the basis of the FRS (Huber & Gross, 1989). The aim of the current study was to develop and evaluate a self-administered screening instrument to detect FRS and BS in clinical populations. A three stage design was used to achieve this. Stage one included the development of items and stage two was concerned with item analysis. Stage three comprised a pilot study in which a number of hypotheses …

Factors That Malawian Adolescents From Co-Educational Secondary Schools Of Lilongwe And Mchinji Identity As Affecting Their Ability To Discuss Sexual Issues, Susan K. Geloo

Theses: Doctorates and Masters

The purpose of this study was to explore the factors Malawian adolescents from co-educational secondary schools identified as affecting their ability to discuss sexual issues. A sample of 149 adolescent students from the coeducational secondary schools of Lilongwe and Mchinji districts was surveyed. Their ages ranged from 14-18 years of age. The schools and participants were chosen using cluster-sampling and data were obtained via a questionnaire. The questionnaire comprised of demographic variables, sources of sexual information, participant's sexual life, the sexual issues participants consider important and their ability to communicate sexual issues comfortably with different community members. Data were analysed …

Participation And The Focus Of Nutrition Education In A Rural Child Growth Monitoring Program In Kenya, Elizabeth N. Kuria

Theses: Doctorates and Masters

Nutrition education is one of the strategies that addresses high levels of malnutrition in the world. Since independence in 1963. Kenya has instituted socio-economic, food security, nutrition and health policies to improve the nutrition and quality of life of it's people. In spite of these policies, one third of the Kenyan population is undernourished. This study was planned to establish how nutrition education is conducted in the Ministry of Health Thika District through a rural child growth monitoring program and to generate and reflect on women's participation in decision making in the program. Open-ended interviews were conducted with 21 women …

Parental Grief Responses To Perinatal Loss, Lisa M. Peacock

Masters Theses

An exploratory, descriptive design was used to examine parental grief and coping responses to perinatal loss. Florence Selder's Life Transition Theory (1989) was used as the conceptual fiamework. A survey approach was used for data collection. This included basic demographic questions, the Perinatal Bereavement Scale and the Jalowiec Coping Scale. A convenience sample was obtained, consisting of 24 women and 6 men in northern Michigan communities who had experienced a perinatal loss at some time in the past. Data were collected by an anonymous mailed survey. The results of the study revealed that all parents in this sample did exhibit …

Identification Of Stuttering Moments: Is Hypermedia Training As Effective As Traditional Classroom Instruction?, Johna Delene Wakem

Dissertations and Theses

Significant deficits in clinical preparedness for fluency disorders and computer literacy have been identified through research. A hypermedia program that teaches students how to identify moments of stuttering could address both clinical preparedness issues and computer literacy. It is the purpose of this study to investigate the validity of a hypermedia program as a training tool. Twenty-one college students were divided into 2 groups based on scores from a pre-training assessment task. Group A attended traditional classroom lectures to learn the skill of stuttering identification, whereas Group B used the hypermedia program. All participants were given a post-training video assessment …

A Comparison Of The Effects Of Moderate- And High-Carbohydrate Diets On Coronary Heart Disease Risk Factors: A Pilot Study, Margaret Helen Fernandez, Julia Ava Niehaus Soper

Theses and Dissertations - UTB/UTPA

This pilot study compared the effects of two diets on total cholesterol to high- density lipoprotein cholesterol ratio, body mass index, and waist circumference. A diet of 15% protein, 55% or more carbohydrate, and 30% or less fat was compared to a diet of 30% protein, 40% carbohydrate, and 30% fat. Lipid levels and anthropometric measurements were obtained on 18 adult males with moderately elevated lipid levels before and after 12 weeks of dietary intervention. Analyses showed variances between and within the study groups in the areas of anthropometric measurements and lipid levels; no statistically significant differences between the groups …

The Identification Of Domains And Competencies For Community Practice Occupational Therapy, Lisa Anne Werner

Masters Theses

Literature shows evidence of a shift in occupational therapy from traditional institutional settings to community-based settings. As increasing numbers of new and expert occupational therapists enter community-based practice, the need for competency identification for practice, education, and reimbursement becomes paramount. This qualitative research study sought to identify domains and competencies of community-based occupational therapy practice by interviewing three expert occupational therapists using the critical incident method in which each therapist described one therapeutic intervention with a client. This method, as seen in nursing studies (Benner, 1982, 1984), serves to elicit competencies embedded in expert practice. Thirty-nine competencies were described in …

Investigation Of A Southeastern Community's Knowledge And Intent To Use A Nurse Practitioner, Elizabeth Ann Park

Masters Theses and Doctoral Dissertations

The concept of the advanced practice nurse was first conceived in the 1960s in an effort to provide patients with adequate primary health care. Changes in the health care delivery system since that time have facilitated this role. The past ten years has seen an increasing number of physicians utilizing nurse practitioners (NPs) in their practices.As physicians consider this alternative, they are interested in knowing how their patients will accept this change.Review of the literature regarding the health care consumer's acceptance of the NP as a health care provider revealed that the majority of the research, thus far, has been …

Burnout Among Managed Care Clinicians, Dawn M. Waggoner

Theses

Burnout is a pattern of emotional overload in which one feels overwhelmed by the demands imposed by others . Those individuals who do "people work" of some kind are the most vulnerable to burnout. The purpose of this study was to determine if there is a relationship between the level of burnout and the number of months case workers have worked at the same managed care company. Thirty-two case workers from one managed care company completed the Maslach Burnout Inventory (MBI) to assess their current level of burnout. Data analysis run on all three subscales found that there was no …

Burnout Among Managed Care Clinicians, Dawn W. Waggoner

Theses

Burnout is a pattern of emotional overload in which one feels overwhelmed by the demands imposed by others. Those individuals who do "people work" of some kind are the most vulnerable to burnout. The purpose of this study was to determine if there is a relationship between the level of burnout and the number of months case workers have worked at the same managed care company. Thirty-two case workers from one managed care company completed the Maslach Burnout Inventory (MBI) to assess their current level of burnout. Data analysis run on all three subscales found that there was no significant …

The Role Of Gap Junctions In Congenital Diseases Of The Heart, Scott Henry Britz-Cunningham

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Gap junctions are thought to have a crucial role in the synchronized contraction of the heart and in embryonic development. Connexin43, the major protein of gap junctions in the heart, is targeted by several protein kinases that regulate myocardial cell-cell coupling. We hypothesized that mutations altering sites critical to this regulation would lead to functional or developmental abnormalities of the heart.

Methods. Connexin43 DNA from 25 normal subjects and 30 children with a variety of congenital heart diseases was amplified by the polymerase chain reaction and sequenced. Mutant DNA was expressed in cell culture and examined for its effect …

The Effect Of Jogging On Anterior Knee Laxity After Anterior Cruciate Ligament Reconstruction, Fawzi F. Bouzubar

Rehabilitation Sciences Theses & Dissertations

Jogging is commonly performed in the latter stages of the rehabilitation program (2½-3 months) following ACL reconstruction. However, its cyclic loading effect on the ACL graft, 4-6 months after surgery has not been examined. Therefore, the purpose of this study was to examine changes in anterior knee laxity before and after 15 minutes of jogging on the treadmill. Subjects (N=l 1) were 8 males and 3 females (X age= 30.27 ± 4.76 years; heights= 175.7 ± 10.7 cm; weights= 81.1 ± 15.9 kg) with unilateral ACL reconstruction (central 1/3 patellar tendon graft, postoperation range = 4-6 months). Measurements were made …

Culturally Congruent Care: Predictors Of Patient Satisfaction Among Adult Mexican Americans, Shannon Marie Dowdall, Alma Rosa Flores, Karyn Elizabeth Taplay

Theses and Dissertations - UTB/UTPA

Predictors of patient satisfaction among hospitalized adult Mexican Americans were examined in this pilot study. Acculturation as determined by the Acculturation Rating Scale for Mexican Americans-II (ARSMA-II), ethnicity of the nurse, age, gender, socioeconomic status, level of education and marital status were examined as predictors of patient satisfaction. Patient satisfaction was measured by the Patient Satisfaction Inventory (PSI). The pilot study was conducted in an acute care setting in the lower Rio Grande Valley, where 81 participants provided the data. The questionnaires were offered in both English and Spanish. Two qualitative questions were asked regarding the patients' perception of culturally …

Entry-Level Competencies Needed By Bsns In Acute Healthcare Agencies In Tennessee In The Next Ten Years, Marjorie S. King

Electronic Theses and Dissertations

The research focused on the identification of entry-level competencies needed by Bachelor of Science in Nursing (BSN) graduates who will begin employment in acute healthcare agencies in the next 10 years in Tennessee. The purpose of the study was to gain increased awareness of the competencies needed by graduates of BSN programs in Tennessee in order to meet the demands of the acute healthcare agencies, in light of present and anticipated changes in the healthcare delivery system. The opinions of nurse educators, nurse administrators, recently graduated BSNs, and experienced BSN graduates were solicited to assess congruency of perceptions. In addition, …

The Nature, Scope, And Consequences Of Drug And Alcohol Use Of Students Enrolled At Three Southern Appalachian Community Colleges, Jewel D. Morgan

Electronic Theses and Dissertations

The primary purpose of this study was to determine the nature, scope, and consequences of drug and alcohol use by students enrolled at three southern Appalachian community colleges: Mountain Empire Community College (MECC) in Virginia, Northeast State Technical Community College (NSTCC) in Tennessee, and Southwestern Community College (SCC) in North Carolina. An additional purpose was to use this information to formulate recommendations for new and improved preventive substance-abuse programs. The design for this study was descriptive research. The Core Alcohol and Drug Survey (CORE) was selected as the appropriate instrument for use in this study. The 23-item questionnaire was designed …

The Use Of Emergency Contraception: College-Age Students' Knowledge And Attitudes, Dollie J. Cadden

MSN Research Projects

The emergency contraceptive pill is a method of postcoital contraception. The method, often called the morning after pill, is relatively unknown, both among potential users and some health care providers. Morning after pills are available at the health centers of many universities. Recently, proposals have appeared in the academic and popular press to expand the availability of emergency contraceptive pills. On college campuses, where many students risk becoming pregnant but where few pregnancies are wanted, there may be a considerable unmet need for expanded availability of emergency contraceptive pills. At this time, few studies have documented the prevailing knowledge, attitudes, …

Increased Glutathione Metabolic Defense Capabilities In Cultured Alzheimer's Diseased Lymphoblast Cell Lines, Collin M. Shaw

Dissertations and Theses

The hypothesis to be tested states that the pathology of Alzheimer's disease (AD) involves elevated levels of oxidative stress, resulting in elevated levels of cellular oxidative defense mechanisms. If the premise is true, than AD pathologically afflicted cells should have a higher demand for glutathione (GSH) as an innate oxidative defense mechanism hence; greater GSH concentrations, increased GSH resynthesis capabilities, and increased levels of cystathionine gamma-lyase (CNase). Alzheimer diseased and age matched control lymphoblast cells, obtained from OHSU's Oregon Brain Aging Study, were cultured, and GSH biochemistry was subsequently evaluated. GSH was depleted by exposing cells to the GSH depleting …

Acts Of Resistance: Nurses' Personal Narratives, Maryanne Garon Dnsc

Dissertations

Acts of resistance can be expressions of creativity, protest or non-cooperation by oppressed groups. Resistance is seen as always present in the face of domination. Acts of resistance can help us to understand how the powerless mediate power relations, and they can actually give hope to the powerless. This study looked at the issues of power and resistance through critical and feminist perspective. A central concept of feminist theory is that women, and thus nurses as a women's profession, are oppressed. This study looked at female nurses' acts of resistance, which were defined as speaking up or taking action about …

Length Of Pregnancy And Birthweight Between Black And White Women, Christine Herdt

Master's Projects

The pregnancies of Black women are complicated by adverse outcomes, such as prematurity and low birthweight, at twice the rate of complications in pregnancies of White women (Taylor, Katz, & Moos, 1995). Early access to and adequate utilization of prenatal care services are essential for successful pregnancy and birth outcomes (Rowley, 1994). The purpose of this study was to determine if there was a difference in length of pregnancy and birthweight between Black and White women at risk for preterm birth in a Preterm Delivery Prevention Program. A chart review of 79 clients enrolled in the Preterm Delivery Prevention Program …

The Differences In Health Beliefs And The Frequency Of Mammograms Among Older Women, Angela E. Hall

Master's Projects

Increasing age is the primary risk factor for breast cancer, yet older women underutilize mammography for early detection. The purpose of this study was to explore any differences in perceived benefits, perceived barriers, and physician recommendation rate between older women who do and those who do not follow current mammogram screening guidelines. A convenience sample of women over 65 years old (N = 70), completed the Health Belief Model questionnaire on mammography. The findings indicate a statistical difference in the perceived benefits to mammograms between the two groups (t = 2.72, p = .008). There was no statistical difference in …

Stachybotrys: Is Nevada At Risk?, Terrylynn C. Foley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Stachybotrys chartarum (atra) is a toxigenic fungus that is known to adversely impact the health of animals. Until recently, there have only been a few documented clinical reports linking Stachybotrys chartarum to human health effects. Scientists are increasingly convinced that Stachybotrys and its metabolites are responsible for several adverse health effects experienced by people all over the world, although conclusive proof has yet to be established. All the physical requirements needed for indoor Stachybotrys sporulation and growth is provided through water leaks (plumbing, roof or ceiling), flood events, nutrient sources (cellulose and nitrogen), pH, and temperature(23° - 28°C). Stachybotrys has …

A Cross-Sectional Study Examining Lifestyle And Rheumatoid Arthritis, Leslie Nazaroff

Loma Linda University Electronic Theses, Dissertations & Projects

Objective. Rheumatoid arthritis (RA) is a chronic inflammatory disease that affects the synovial joints. RA affects 0.5-2% of the population. Though it is predominantly a progressive disease, adjunct therapy may slow the destructive pathway or alleviate affiliated symptoms. This study examined the effects of lifestyle (diet and exercise) and self-efficacy on symptoms of RA as measured by disease activity and health satisfaction.

Methods. Seventy-five RA patients (77% female) from the Loma Linda University Faculty Medical Offices, Rheumatology Department completed self-assessment surveys on their lifestyle practices and RA affliction. Disease symptoms and activity were assessed with the Arthritis Impact Measurement …