Medicine and Health Sciences Commons^™

Opinions About Sex Offenders' Progress In Therapy, Laren Bays

Dissertations and Theses

Sex offenders are often required by the court to enter therapy and receive help so they can stop deviant sexual behaviors. Mental health professionals must have some means of evaluating a mandated client's progress in therapy, however, there are currently no valid criteria available. A survey form was developed containing 73 items which professionals identified as having possible utility in evaluating progress.

The Percentage Consonants Correct And Intelligibility Of Normal, Language Delayed, And History Of Language Delayed Children, Randi Jartun

Dissertations and Theses

Highly unintelligible children may mistakenly be assumed to have difficulty only with the misarticulation of consonants. Expressive language concerns may be ignored while the primary focus of intervention becomes the correction of misarticulated speech. Questions have arisen regarding the possibility of both speech and expressive language difficulties contributing to unintelligibility. Shriberg and Kwiatkowski (1982) developed an ordinal means of rating severity of involvement. One of the constructs of the severity scale was intelligibility. The metric percentage consonants correct (PCC) was developed to identify severity of involvement of disorders of phonology.

A Study Of The Narrative Skills In Kindergarten Children With Normal, Impaired, And Late Developing Language Development, Lisa L. Mcfarland

Dissertations and Theses

Children's narrative language plays a critical role in guiding the transition between oral language and literacy (Roth & Spekman, 1989; Westby, 1989). Narrative comprehension and production by normally achieving and language delayed school-aged children have been studied. Many of these studies have involved story retellings. Few have studied how spontaneously produced narratives are organized especially by young children.

Trait Competitiveness In N.C.A.A. Division I And Division Iii Female Basketball Players, Kristin Renee Huffman

Dissertations and Theses @ UNI

The purpose of this study was to examine trait competitiveness in female basketball players of Division I and Division III universities. It was hypothesized that Division I female basketball players and Division III female basketball players would not differ in trait competitiveness.

The research design for this study was quasi-experimental. The level of N.C.A.A. competition, Division I or Division III, served as the independent variable. Trait competitiveness, as measured by the Sport Orientation Questionnaire (SOQ) (Gill & Deeter, 1988), served as the dependent variable.

The subjects (N = 190) for this study were members of women's basketball teams in the …

Regional Accuracy Of Temporomandibular Joint Imaging: Comparison Of Mr And Ct With Autopsy Specimens, Charles F. Reed

Master's Theses

No abstract provided.

Environmental Factors Affecting Mechanical Properties Of Facial Prosthetic Elastomers, Uday H. Mohite

Master's Theses

No abstract provided.

A Study And Comparison Of The Ericksonian Strategic Style Versus The Medical Model Of Herbert And David Spiegel As An Approach To Hypnotherapy, Walter E. Roberson

Theses

The purpose of this thesis is to compare and contrast two models of hypnotherapeutic technique. The first model is the strategic therapy of Milton H. Erickson, and the second is the medical model approach of Herbert and David Spiegel. A description of hypnosis is given by several researchers as well as a history of hypnosis as a psychotherapeutic tool. Each of the two models are discussed then noting structure, and use in clinical settings. Results of the study indicated that both models were effective modes of treatment, but the medical model had more of scientific orientation and so is better …

A Correlational Study Between Psycho-Social Variables And Successful Drug Abuse Treatment, Paul L. Susic

Theses

Many studies have been performed to clarify variables associated with successful treatment for drug abuse with very confusing, ambiguous results. Based upon this premise this study will attempt to contribute toward the illumination of factors, having therapeutic value, which facilitate recovery.

This thesis was a study of whether there was specific psycho-social treatment outcome. any relationship between variables and successful Assessment information used to derive data for this study were intake assessment data used in the normal operations of a successful outpatient drug treatment program. Subjects were patients entering treatment for recovery from numerous drugs including alcohol, heroin, crack, and …

The Use Of Self Blood Glucose Monitoring And Its Relationship To Effective Management For People With Insulin Dependent Diabetes Mellitus, Maureen Unsworth

Theses : Honours

It is believed that people who effectively self manage their own diabetes will achieve higher levels of health and well being (Pender, 1987). Although diabetes education has increased rapidly in the last 10 years, the emphasis has been placed on increasing people's knowledge of diabetes as a medical condition, which does not necessarily ensure effective self management of diabetes. Previous research suggests that self blood glucose monitoring (SBOM) is an effective tool for promoting the use of blood glucose levels as a basis for initiating behaviour changes related to eating, exercise and insulin dosage. Yet, while most people with diabetes …

Factors In The Non-Recognition Of Overseas Qualifications: The Case Of Medical Practitioners, Christine V. Farag

Theses : Honours

The overseas qualified doctor is a potential threat to the state-sanctioned control practising doctors have over medical knowledge in Australia. The nonrecognition of qualifications of many migrant and refugee doctors, in particular from non-English speaking background (NESB) countries, presses them into a subordinate relationship lo that of registered practitioners. The ownership of medical knowledge is limited lo state-recognised practitioners, thus allowing them to maintain significant economic and social advantage within the general community. The relationship between qualified practitioners and the state is indicative of a particular dynamic in which some individuals are able to exclude others by mechanisms of social …

Heterogeneous Macromolecular Composition Of Renal Basement Membranes In Health, Diabetes And Glomerulonephritis, Douglas K. Brees

MUSC Theses and Dissertations

Although basement membranes are ubiquitous structures throughout the body, basement membranes have distinct compositions that are specific to their location. This basement membrane heterogeneity may, in part, reflect functional differences among various basement membranes. We examined basement membrane heterogeneity in normal, healthy mouse kidneys to assess the similarities and differences between glomerular and tubular basement membrane composition. It was demonstrated that mouse glomerular and tubular basement membrane share similar compositions but differ with respect to specific amounts of some components. In diabetes mellitus and passive Heymann nephritis (PHN), damage to the glomerular barrier occurs and is accompanied by an increase …

Faculty And Student Perceptions Of Effective Clinical Teachers: A Replication, Kathleen L. Miller

Masters Theses

Clinical teaching in nursing has been found to be as problematic as it is in other practice-oriented professions. The purpose of this study is to identify student's and faculty's perceptions of effective characteristics of clinical teachers. An anonymous questionnaire was distributed to students and faculty at a university college of nursing in western Michigan to solicit their perceptions. The study data reveal both similarities and differences in their perceptions and raises awareness of how clinical teachers need to be atune with nursing student's learning needs and learning styles. Comparison of this study with the previous studies show a common direction …

Inclusion Of Gregorc's Mind Styles Concepts In Physical Therapy Curriculum And Instruction In Selected Baccalaureate And Post-Baccalaureate Programs, Keith R. Gaden

Dissertations

Topic

The topic under study in this paper was the application of Gregorc's mind styles concepts in two baccalaureate and two post-baccalaureate physical therapy programs.

Purpose

The purpose was to determine how these concepts were used while addressing the teaching and learning theory competency of the accreditation standards.

Sources

I examined intra- and extra-classroom activities, noting how information on styles was given and/or modeled to the students. Gregorc's Energic Model of Styles formed the basis for style determination. The research design was multiple-case study (embedded). Accreditation documents, curriculum file materials, handout materials, and videotaped classroom sessions were interpreted to determine …

The Measurement Of Knowledge, Attitudes And Knowledge-Seeking Behaviours Of Women In Relation To The Menopause And Health Related Issues, Amanda Devine

Theses : Honours

Research suggests that women are not well informed about the health related issues which are associated with the menopause. The purpose of this study was to determine women's: current knowledge of the menopause and of the disease osteoporosis; attitudes to estrogen replacement therapy (ERT); frequency of menopausal symptoms; knowledge-seeking behaviours In relation to the menopause; and, open-ended responses to menopausal issues. This study surveyed 70 women who responded to an advertisement in Community Newspapers. Data were collected using a "Knowledge and attitudes to the menopause and health related issues" (KAMHRI) questionnaire. The KAMHRI questionnaire was developed by the researcher and …

A Comparison Of Two Theories Of Resistance To Innovation In Medical Record Administration Baccalaureate Degree Programs, Joyce Brown-Harvey

Health Services Research Dissertations

Resistance to innovation is a major obstacle to the successful implementation of planned change in colleges and universities. The purpose of this study was to compare two explanations of resistance to innovation to determine which one best explains the variance in receptivity and proposed innovations among faculty members in medical record administration programs. One explanation holds that organizational members' receptivity to change is a function of their personalities. The second explanation holds that members respond to specific innovations and that they do so in terms of whether the innovation would increase or reduce their present status.

The faculty of baccalaureate …

The Effect Of Tourniquet Application On Systemic Coagulation, Christa Choate Hudalla

Theses and Dissertations

Seven orthopedic surgery patients requiring the use of a tourniquet were studied. The hypothesis stated that tourniquet application does not affect coagulation. A total of 5 blood samples were drawn perioperatively (preoperative, 5 minutes after induction of anesthesia, 30 minutes after tourniquet inflation, 2 - 5 minutes after tourniquet deflation, and 30 minutes after tourniquet deflation. For each sample, TEG parameters (R, R + k, MA and α) were measured.

The value for each TEG parameter was compared by analysis of variance (ANOVA), then the samples were contrasted and examined by repeated measures ANOVA. None of the TEG parameters showed …

The Effects Of Prenatal Breast-Feeding Class On Breast-Feeding Success And Maternal Perception Of The Infant: A Replication, Eileen Grunstra, Susan Rowe

Masters Theses

The purpose of this study was to determine the effectiveness of prenatal breast-feeding education on a mother's perceived success at breast-feeding. This study also looked at the relationship of prenatal breast-feeding education on a mother's perception of her infant. The conceptual framework utilized was the Roy Adaptation Model. Motherhood and breast-feeding involve a change in role, which is why this theory served as a foundation for the study. The method for study was a quasi-experimental design. Subjects in the experimental group attended a prenatal breast-feeding class, those in the control group did not. In addition to a general survey questionnaire, …

A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema

Masters Theses

The purpose of this descriptive, correlational study was to compare the critical thinking and clinical judgement skills of senior nursing students at two educational levels. A convenience sample of 34 students in the Midwest was obtained during the spring semester before graduation (n = 19 baccalaureate, n = 15 associate). The framework for the study was decision theory. Critical thinking ability was measured by the Watson Glaser Critical Thinking Appraisal. Clinical judgement was determined by the ability to recognize cues, provide nursing diagnosis, interventions and corresponding rationale after viewing five video vignettes produced by Performance Management Services. Demographic data was …

Evaluation Of Coagulation Studies Drawn From Heparinized Arterial Lines, Lois J. Van Donselaar

Masters Theses

Drawing blood from indwelling heparinized arterial catheters is a common procedure in critical care units. The accuracy of coagulation studies drawn from heparinized arterial lines has been a source of controversy and divergent results of research studies. The discarding of blood to provide an uncontaminated specimen is a concern as a source of infection for health care workers. This study evaluates the accuracy of aPTT results drawn from the Lab-Site pressure tubing system which provides a closed system that eliminates blood discard. Blood was obtained from radial artery catheters connected to the Lab-Site system and compared to specimens obtained simultaneously, …

What Is The Relationship Between Perceived Job Stress, Job Satisfaction, And Psychological Symptoms Of Critical Care Nurses?, Barbara L. Hooper

Masters Theses

House's Stress Paradigm provided the theoretical framework for this study which examined the relationship between job satisfaction and job stress, and the correlation of job stress with the experience of psychological symptoms in a sample of 32 critical care nurses from an urban midwestern hospital. The Brief Symptom Inventory and Atwood and Hinshaw's Nursing Job Satisfaction and Job Stress Scales were used to measure the variables. A moderately strong correlation (r = {dollar}-{dollar}.63, p =.001) was found between job satisfaction and perceived job stress. No significant relationship was found between perceived job stress and psychological symptoms. These findings suggest that …

The Effect Of Anxiety On Student Nurses' Performance When Administering Intramuscular Or Subcutaneous Injections, Sandra L. Osborne

Masters Theses

The purpose of this study was to determine what the relationship was between levels of trait and state anxiety and performance when giving intramuscular or subcutaneous injections. It was a replication of a study by Megal, Wilken, and Volcek (1987).; In May, 1990, the STAI Form Y-2 was used to assess trait anxiety of 17 students at a community college in the Midwest. State anxiety was measured by using the STAI Form Y-1 immediately before: (1) laboratory performance examinations and (2) giving first injections to clients. Instructors completed Injection Skill Check Lists to measure performance.; Students reported high levels of …

Weaning The Long-Term Ventilator Patient: A Nursing Protocol, Karen J. Trudell

Masters Theses

This study evaluated the effects of implementing a standardized nursing protocol on decreasing the length of time it takes the patient to wean from long-term ventilation using an ex post facto comparison group design. The standard nursing protocol is a set of 10 nursing interventions used to standardize the weaning process. A retrospective chart review was performed on 24 patients who were in the intensive care unit of a community teaching medical center, and required long-term ventilation of six days or more. After nine months of implementation of a standard nursing protocol, allowing for the intensive care nurses to become …

The Relationship Between Locus Of Control, Powerlessness, And Job Satisfaction Among Registered Nurses, Evelyn C. Wirsing

Masters Theses

A cross-sectional descriptive correlational design was used to investigate the following research questions: (a) How much variation in nurses' satisfaction can be predicted from locus of control and powerlessness? and (b) are there statistically significant (p {dollar}<{dollar}.05) differences in job satisfaction among nurses based upon their primary area of practice, highest earned degree, length of employment in current position, and employment status? A random sample of 300 staff nurses from a large acute care teaching hospital was surveyed utilizing a four-part questionnaire. The response rate was 51% (N = 152). Powerlessness accounted for 29% of the variance in job satisfaction scores and locus of control accounted for none of the variation in job satisfaction. Secondly, a weekly significant difference (F(5, 146) = 2.29, p {dollar}<{dollar}.05) in job satisfaction scores existed among clinical specialty groups, however no significant differences in job satisfaction were found for the remaining professional characteristics.

Parental Coping With A Chronically Ill Child, Shari Jo Allore Bertolone

Masters Theses

The purpose of this study was to determine what coping mechanisms families of chronically ill children indicated they utilized to cope on a daily basis. This study utilized the Coping Health Inventory for Parents (CHIP) to collect data. The CHIP is designed to assess parents perceptions of behaviors they are currently using to manage family life. There are three main coping patterns focused on and it is hypothesized that a balance of these three patterns is essential for a positive outcome. This study found there are certain mothers and fathers who are at risk for not using a balance of …

Hardiness And Adaptation To Hypertension, Marcia L. Smit

Masters Theses

Hardiness, a personality characteristic that is purposed to mediate the stress response and reduce the likelihood of illness, was studied in the context of adaptation to chronic disease. A descriptive correlational design was used to determine whether a positive relationship exists between the presence of hardiness and psychosocial adaptation to hypertension. The sample consisted of 50 individuals 60 years old or older. Data was analyzed using the product moment correlation coefficient, Spearman's Rho, and multiple regression. A moderately weak correlation (r =.39, df = 48, p =.003) between hardiness and adaptation was found. Other significant relationships identified included those between …

Aids: Knowledge And Attitudes Among Nurses, Jeanette J. Lochan

Masters Theses

Reports have indicated that nurses have negative and preconceived attitudes concerning persons with acquired immunodeficiency syndrome (AIDS) and that these biases may interfere with quality care. The purpose of this descriptive correlational study was to identify the relationship between nurses' knowledge about AIDS and their attitudes toward caring for patients who are diagnosed with AIDS and/or who test positive for HIV. Data was gathered by questionnaires from a convenient sample of nurses employed at an area hospital in West Michigan. Of the 500 nurses who received the questionnaire, 208 (41.6%) participated in the study. Knowledge about AIDS was correlated with …

Perceptions Of Patients, Nurses, And Physicians Regarding Nursing As A Profession, Ann R. Robach

Masters Theses

The United States is facing a critical shortage of nurses. A prevailing societal perception of nursing having a subservient role in health care prevents many recruits from choosing this career, despite efforts by nursing leaders to change this perception (Styles, 1988). The purpose of this study was to determine the current perceptions of patients, nurses, and physicians regarding nursing as a profession.; A 20 item modified version of Valiga's View of Nursing Questionnaire was implemented for this study. The subjects included 102 patients, 126 nurses, and 68 physicians who completed the questionnaire in the fall of 1991.; Statistical analysis revealed …

Predictors Of Success On The Nclex-Rn Examination, Kathleen S. Pangle

Masters Theses

This ex post facto study was designed to determine if the scores of advanced standing LPNs' NCLEX-RN scores were significantly different from those of generic students and to identify predictors of success of NCLEX-RN performance. Based on Bandura's theory of self efficacy it was hypothesized that LPNs would score higher on the NCLEX-RN than generic students. The independent variables were final grades in nursing theory courses (Medical-Surgical, Obstetrics, Pediatrics, and Psychiatric Nursing), and NLN Achievement Tests and the Comprehensive Nursing Achievement Test. The study group included 195 graduates from a small, rural Associate Degree in Nursing program between the years …

Positioning Of High Risk Infants: Effects On Oxygen Utilization, Umbilical Artery Catheter Integrity And Activity, Dawn Zuidgeest-Craft

Masters Theses

In a prospective experimental study, 24 high risk infants over 1,000 grams and under 5 days of age were observed and evaluated for the effects of positioning on the umbilical artery catheter, activity, and oxygen utilization. Infants were positioned right lateral, left lateral, supine and prone, for 2 hours in each position. The purpose of the study was to evaluate whether prone position opposed to other positions increased sleep state behaviors, reduced oxygen need, or created any complication for the umbilical artery catheter. Using a repeated measures design and repeated measures analysis of variance, it was found that positioning prone …

Evaluating Family Caregivers' Ability To Select Appropriate Care Techniques Following Discharge Instructions On Post Traumatic Brain Injury Symptoms, Connie J. Pardee

Masters Theses

Post traumatic brain injury symptoms can be very stressful to family caregivers. This study evaluated family caregivers' ability to select appropriate caregiver actions following discharge instructions on post traumatic brain injury symptoms. Subjects in the control group viewed videotaped discharge instructions on physical symptoms post traumatic brain injury. The experimental group viewed videotaped discharge instructions on physical symptoms, cognitive dysfunction and behavioral changes post traumatic brain injury. Both groups were given a written post test after viewing the videotape. Those who received information on physical symptoms, cognitive dysfunction, and behavioral changes had a higher mean score than those who received …