Medicine and Health Sciences Commons^™

The Relationships Between Marital Adjustment, Family Functioning, Task Management And Family Relationship Concerns In Couples Incorporating A Second Child, Amy Diguiseppe Bade

Dissertations

The purpose of this study was to examine the relationships among variables identified as potentially significant during the transition to second time parenthood. The theoretical framework for this study was based on the Circumplex Model of family systems (Olson, Sprenkle & Russell, 1979; Olson, Russell & Sprenkle, 1983), and a five domain structural model of marital and family adaptation (Cowan & Cowan, 1988).

The convenience sample consisted of 49 Caucasian middle class couples all expecting their second child. This was a one group pretest-posttest design with the birth of the second child functioning as the independent variable. The dependent variables …

A Validation Of The Family Of Origin Scale Using Alcoholic And Mental Health Patients, Arthur J. Fedor

Dissertations

The purpose of this study was to add to the knowledge of family of origin assessment by demonstrating the utility of the Family of Origin Scale (FOS; Hovestadt, Anderson, Piercy, Cochran, & Fine, 1985) as a posttreatment measure of change with clinical samples. In this context, a second feature of the study was a further validation of the FOS.

Eighty-one clinical subjects in inpatient alcoholism treatment centers and outpatient mental health clinics were administered the FOS prior to treatment and again following treatment. Although the pretest-posttest model of the study was a quasi-experimental design, the focus was on the FOS's …

Managing Patient Care: A Substantive Theory Of Clinical Decision Making In Home Health Care Nursing, Felicitas A. Dela Cruz Dnsc, Ma, Rn

Dissertations

This study investigates the phenomenon of clinical decision making, deriving a grounded substantive theory to explain how home health care nurses make patient care decisions. Despite the continuing shift of health care from acute care settings to the patient's home, little is known about home health care nurses' clinical decision making processes and the factors influencing them. The study employs a field research design using grounded theory based on symbolic interactionism. Data collection at two Visiting Nurse Associations includes participant observation and open-ended interviews of 21 nurses, and document analysis of patients' records and home care nursing practice policies. The …

Organized Nursing In The Silver State: A History Of The Nevada Nurses' Association, Ellen Suzanne Fries Dnsc, Mn, Rnc

Dissertations

Membership in a professional organization traditionally has been considered one of the characteristics of a person avowed to practice a profession. The purpose of this study was to conduct an historical analysis of the Nevada Nurses' Association (NNA) to determine the influence of national, state, and local societal issues on the evolution of the organization. Data was collected from the Nevada Historical Society in Reno, the NNA state office, the Special Collections at the University of Nevada, Las Vegas, and the Nursing Archives at Boston University. Articles in professional and lay literature also provided information. Organization theory and congruence with …

Baccalaureate Reentry Students: Effects Of Professional Support On Role Conflict And Role Transition, Ruth N. Grendell Dnsc, Msn, Rn

Dissertations

An increasing number of registered nurses and other health care providers are entering upper division academic nursing programs to obtain the baccalaureate nursing degree. A path analytic model was developed to examine the interrelationships of multiple roles and focal role commitments, previous education, work experience, and role conflicts perceived by reentry adult students, and the influence of professional support in the subsequent transition to the professional role. Group differences between Registered Nurses (RNs) and military corpsmen were also investigated for the variables of importance. A sample of 206 RNs and 37 U.S. Navy corpsmen (from a current population of 96) …

The Academic Coordinator Of Clinical Education In Physical Therapist Educational Programs, Norene Clouten

Dissertations

In physical therapist educational programs the faculty member responsible for the clinical education portion of the curriculum is the Academic Coordinator of Clinical Education (ACCE). The factors that attract individuals to the career of ACCE and that influence them either to leave or remain in the position are of interest and concern to those planning for the future of the profession. The purpose of this study is to gather information about the career of the ACCE. The study was designed to determine the: (a) Personal characteristics and occupational status of ACCEs, (b) preparations made for the career of ACCE, (c) …

Nurse Leaders: The Relationship Between Return To School And Sex Role Traits, Family Demographics And Household Responsibilities, Mary Lynn Anderson

Dissertations

The purposes of this study were: (a) to describe differences , if any, in sex-role traits, age and number of children, proportionate income, and responsibility for household tasks and childcare between female registered nurses who return to college and those who do not; and (b) to extend the research regarding the adult learner's return to college in the specific area of baccalaureate degree completion by registered nurses. Chi square and analysis of variance of survey data, and interviews were used in determining differences between the student and nonstudent groups.

Four hypotheses were tested. The only hypothesis which was supported was …

Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn

Dissertations

This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …

Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn

Dissertations

Identification of factors that influence obese adolescents' health behaviors is necessary if obese adolescents are to benefit from therapeutic interventions. The purpose of this descriptive-correlational study was to identify the relationships between selected basic conditioning factors (BCFs)--perceived health status (PHS), perceived self-efficacy (PSE), family satisfaction (FS), and life events (LE)--and the self-care agency (SCA) and self-care practices (SCP) among obese adolescents. The relative predictive strength of each BCF in relation to the outcome variables was also explored. Orem's self-care theory provided the conceptual framework for this study. The convenience sample of 100 obese adolescents included campers from two southern California …

Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc

Dissertations

Within a stress-coping-adaptation framework, a path analytic model was hypothesized to explain the interrelationships among the variables of gender, age, duration of illness, steroid dosage, social support, perceived health status limitations, and coping skills, and their subsequent effect on body image appraisal in the population of subjects undergoing treatment for a malignant brain tumor. The many potential changes in physical appearance and functional abilities, including the loss of hair, the onset of Cushing's syndrome and varied physical disabilities, may cause devastating alterations in body image, requiring tremendous coping skills for adaptation in these individuals. One hundred and ten subjects were …

The Moral Reasoning Of Nurse Practitioners, Diane C. Viens Dnsc, Ms, Fnp, Rnc

Dissertations

The purpose of this phenomenological study was to identify the moral dilemmas experienced by nurse practitioners in their clinical practice and to describe the essential features of moral reasoning utilized by the nurse practitioners to resolve the moral dilemma. The participants in the study were ten female volunteers who were currently employed as NPs in a variety of settings. Unstructured interviews were conducted with the participants and the qualitative data was analyzed using a nine step process. Five essential features of moral reasoning emerged through the process of data analysis: values, elements in the contextual framework for moral reasoning, influencing …

A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc

Dissertations

The purpose of this study was to describe and explain the impact of work stress, sex role organization, and organizational tenure on self-esteem and work satisfaction, and ultimately, on the organizational commitment of registered nurses. An eclectic framework was utilized which incorporated organizational and personal variables. The correlational design resulted in a temporally ordered causal recursive model with linkages supported by a literature review. Past research has demonstrated less organizationally committed nurses more prone to leave their positions, and high turnover is detrimental to patient care as well as costly to the health care system. The sample consisted of 143 …