Medicine and Health Sciences Commons^™

Faculty And Student Perceptions Of Effective Clinical Teachers, Patricia Frontczak

Masters Theses

The purpose of this study was to identify ADN faculty and ADN student perceptions of the most effective clinical teaching characteristics (ECTC). An exploratory, descriptive design was implemented. ADN faculty and ADN students were surveyed using the Clinical Teacher Characteristics Instrument (CTCI). The CTCI consists of 20 characteristics of clinical teachers that are ranked on a five point Likert-type scale according to importance. The collected data were analyzed using descriptive statistics. Significant differences in perceptions of the most ECTC between the two groups were identified by a Mann Whitney U procedure. A t-test was performed to identify differences of perceptions …

The Lived Experience Of Bosnian Refugees Who Have Suffered As A Result Of Genocide, Gazelle Raven Animalia

Masters Theses

In 1992, Bosnian Serbian and Serbian forces launched a campaign of genocide against Muslim and Croatian civilians in Bosnia-Herzegovina. This nightmarish odyssey ended for many non-Serbians when they escaped to other countries. Many of these families chose to come to the United States.

The purpose of this study was to examine the lived experience of Bosnian refugees who suffered as a result of genocide. The research method used for this study was a phenomenological method based on Husserlian philosophy. Four Bosnian refugees, who escaped to a midwestem state during and after the war, were asked to answer the following research …

The Effects Of High Fat And High Carbohydrate Diets On Aerobic Performance, Julie Becker, Kelly Mattila

Masters Theses

The effect of a high carbohydrate (HCHO) or high fat (HF) diet on time to fatigue and mood state was examined in the present study. Six untrained males, (mean age 26.6 ± 0.74) were randomly assigned to a high fat (HF) or a HCHO diet for seven days. Subjects performed an endurance test at 55% of VO₂max following the diet. Time to fatigue and psychometric variables of the Profile of Mood States (POMS) were recorded. Subjects then consumed the alternate diet following one week of a normal diet and a second endurance test was performed. There was no …

The Effects Of Water Or Sports Drink Ingestion Prior To Exercise On The Performance Of Middle Distance, Amateur Runners In A Thermoneutral Environment, Julie A. Barnes, Scott G. Devries

Masters Theses

Sports drinks have been shown to influence running performance, however, the best methods of hydration are still unclear. The purpose of this study was to determine the effects of water versus sports drink (6% carbohydrate/electrolyte) hydration prior to an exercise bout on the performance of middle distance, amateur runners. Ten subjects were randomly assigned to run two trials and began with either ingestion of water or sports drink. They then completed a maximal treadmill test to volitional exhaustion and returned two days later and drank the opposite drink. Maximal oxygen consumption (VO₂ max), time of run, heart rate, respiratory …

Can A Multidisciplinary Team Decrease Hospital Length Of Stay For Elderly Trauma Patients?, Beth A. Ramsey

Masters Theses

Elderly trauma patients often experience prolonged hospital stays. This study was done to determine if a multidisciplinary team approach to patient care would decrease hospital length of stay (LOS) for elderly trauma patients in the intensive care unit (ICU). Using a descriptive, correlational design, a convenience sample of 74 elderly patients aged 65 to 99 years was obtained from a trauma registry. The hypothesis that hospital LOS decreases for elderly trauma patients in the ICU who have a team approach to care was not supported using the t-test for independent means (t=1.6, df=72, p=.114). A second hypothesis proposed that the …

Repeatability Of Kinematic And Kinetic Data In The Analysis Of Normal Human Gait, Jennifer M. Piotter, Peter A. Post, Kristi J. Vanden Berg

Masters Theses

Computerized gait analysis (CGA) is a powerful tool used to study the intricacies of human walking. The CGA tool is being used to make objective observations of human movement patterns. It is essential that acceptable repeatability of kinematic and kinetic data be established so that clinicians can detect actual changes between successive tests. This study assessed the repeatability of kinematic and kinetic waveform data from test and re-test trials on 15 subjects. Intra-tester and inter-tester data were examined to determine how much error existed due to marker placement between trials and testers. Part II of this study assessed the repeatability …

A Comparative Study Of Women's Perceptions Of Vaginal And Cesarean Births, Karen Blamer

Masters Theses

Perception of birth is an important consideration for all health care providers. A positive perception of birth can promote effective adaptation to the maternal role. The Roy Adaptation Model guided this research study comparing the perception of birth among women who delivered vaginally, by planned cesarean birth, and by unplanned cesarean birth.

Perception of birth was measured by the use of a 29 item questionnaire developed by Marut and Mercer and completed by 78 subjects two to four weeks postpartum. The ANOVA and post hoc Scheffe tests were used to measure the differences between groups.

The findings supported the hypothesis …

Factors In Pediatrician Medication Administration, Kathleen Elaine Campbell

Masters Theses

King’s conceptual framework was used to examine the relationship between nurses’ stated beliefs of goals of pain management, their personal experience of pain, and their educational levels when choosing to intervene in the management of pain for pediatric patients. A descriptive correlational design was used with a convenience sample of 51 registered nurses in a West Michigan children’s hospital.

No significance was found between the goal of pain management and the level of stated intentions to intervene, the education level of the nurse and stated intentions to intervene, and nurses who have had a personal pain experience and their stated …

The Pre-Absorptive, Instantaneous Effects Of Natural And Refined Sugar On Quadriceps Peak Torque, Brian Adams, Kevin Valdes, Scott Vanzanten

Masters Theses

The purpose of this study was to compare the effect of natural and refined sugar at an instantaneous, pre-absorptive level on quadriceps peak torque and to measure any prolonged effect on normal, healthy subjects. The experimental group (n=40) was randomly assigned to sugar testing order, with refined sugar testing occurring on one day and natural sugar testing occurring on the opposite day. The control group (n=10) followed the same protocol but held distilled water in their mouth. Isokinetic peak torque was recorded for each subject at three intervals, pretest, post-test I (~1 min.), and posttest n (-15 min.). Results showed …

The Effect Of Cognitive Load On Stance Width Of Healthy Older Adults, Susan Brown, Amy Thackery

Masters Theses

Research has shown that narrower stance widths lead to increased postural sway. There is also evidence of increased postural sway with cognitive loading. However, no research has been done to investigate the effect of a cognitive load on stance width. The purpose of this study was to determine if a cognitive task affected the stance widths of healthy, community dwelling 65-80 year old adults. Subjects underwent six task trials (three cognitive, three non-cognitive) after which their stance width was measured. Cognitive task trials required subjects to count backwards by 7's; non-cognitive task trials required subjects to look at a picture …

An Examination Of Patient And Nurse Perceptions Of Stressors During The Electrophysiology Study, Donna J. Thurn

Masters Theses

The purpose of this study was to (a) identify the perceived stressors of patients undergoing an electrophysiology study (EPS) and (b) compare them to the stressors identified by nurses caring for those patients.

A descriptive two group comparative design with a non-probability convenience sample was used. Data were obtained using self report questionnaires. The sample consisted of 25 patients undergoing an EPS and 25 nurse responses. Data analyses included a comparison of the ordering of stressors according to perceived concern by the patient and the nurse. While similar items were identified, there was a difference in the perceived order of …

Functional Effects Of Botulinum Toxin-A Intramuscular Injections In A Patient With Traumatic Brain Injury: A Single Subject Case Design, Christina M. Higel, Molly L. Arndt

Masters Theses

This single subject case design sought to evaluated the long-term and short-term effectiveness of Botulinum Toxin-A (BTXA) treatment in conjunction with directed physical therapy on spasticity, active range of motion (AROM), passive range of motion (PROM), Functional Independence Measurement (FIM) scores, and motor performance in a patient with TBI. Researchers hyopothesized that directed physical therapy in conjunction with BTXA would maximize a subject’s motor control and performance. An "A₁-BC-B-A₂” single subject design, scheduled to last six months and three weeks, was proposed. Clinically significant changes were defined as: a decrease by one point for the Modified …

Functional Outcome Measures Following Isometric Quadriceps Strengthening In Individuals With Knee Osteoarthritis, Rochelle Cibor, Damon Collier, Kris Cooper

Masters Theses

The purpose of this study was to determine if the strength gained from the performance of a six week isometric training program for the quadriceps femoris would result in improvements in the disability level, strength, pain, stiffness, and functional abilities of patients with knee osteoarthritis (OA). Twelve subjects with symptomatic knee OA were randomly assigned to either control or experimental groups, with the experimental group completing a six week isometric program. Pre- and post-test measures included strength assessment on the Biodex and completion of the WOMAC Osteoarthritis Index. Results indicate that experimental subjects had significant improvements in strength and disability …

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 …

Exploration Into The Validity Of Use Of The Bruininks-Oseretsky Test Of Motor Proficiency In Assessing The Adolescent With Down Syndrome, Robin J. Essebaggers, Wynne M. Martin, Gina E. Smies

Masters Theses

The purpose of this study was to investigate the validity of the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) in assessing the adolescent with Down syndrome. Thirteen individuals with Down syndrome ages 13 to 20 years with an IQ of at least 35 were administered the short form of the BOTMP (BOTMP-SF). The functional abilities of these subjects were assessed using the Pediatric Evaluation of Disability Inventory (PEDI). Four parts of the PEDI were utilized: 1) Self-Care Functional Skills, 2) Self- Care Caregiver Assistance, 3) Mobility Functional Skills, and 4) Mobility Caregiver Assistance. No evidence of significant correlation existed between the …

Needs Of Families Of Severe Traumatic Brain Injured Individuals During The Critical Care Experience, Victoria L. Meyers

Masters Theses

Traumatic brain injury occurs without warning, disrupts the life of the individual and family, causing stress. The purpose of this descriptive study was three part: to identify the needs of families of severe traumatic brain injured (TBI) individuals during the critical care experience, to identify who met those needs, and to obtain qualitative data regarding nursing care. Family Systems Theory provided the theoretical framework to support this study.

A convenience sample from a large Midwestern teaching institution consisted of 28 family members of severe TBI individuals. The sample received by mail a demographic profile, a questionnaire (Critical Care Family Needs …

Differences Between The Nursing And Family Member Role In Acute Pain Assessment In Senior Nursing Students, Debra L. Fitzpatrick

Masters Theses

The purpose of this study was to explore how nursing students’ decisions regarding pain assessment and analgesic use may be influenced by the role the student assumes in hypothetical situations, specifically the role of nurse or family member. It was hypothesized that there would be no statistically significant difference in pain assessment, in choice of analgesic dose, and in concerns about analgesics.

A descriptive correlational design was used. A sample of 83 senior nursing students within two weeks of graduation was used. The instrument used was one of two surveys created by McCaffery and Ferrell (1997). All respondents were asked …

Effective Clinical Teaching Behaviors As Perceived By Associate And Baccalaureate Degree Nursing Students, Karyn L. Abrahamson

Masters Theses

The purpose of this study was to identify the most effective clinical teaching behaviors (ECTB) perceived by Associate Degree Nursing (ADN) and Baccalaureate Degree Nursing (BSN) students. An exploratory, descriptive design was implemented. ADN and BSN students (N=55) were surveyed using the Clinical Teaching Evaluation (CTE) instrument designed by Fong (1991). The CTE consists of 25 teaching behaviors that are ranked on a five point Likert-type scale according to importance. The collected data were analyzed using descriptive statistics. Significant differences in perceptions of ECTB between the two groups were identified by a Mann Whitney U procedure.

The study findings indicate …

The Relationship Of Selected Health Beliefs And Exercise Adherence 8 To 12 Months After A Cardiac Event, Jill Stone

Masters Theses

The purpose of this study was to examine differences between health beliefs and cardiac exercise adherence at 6-12 weeks after a cardiac event as compared to 8-12 months post event. Twenty five subjects participated at time one and time two by answering mailed questionnaires designed to measure perceived benefits, perceived barriers, self-efficacy, exercise adherence, and demographic data.

Data analysis did not reveal a significant difference in exercise adherence or perceived benefits, but results did support a statistically significant difference in perceived barriers (p=.02) and self-efficacy (p=.03) from time one to time two. Subjects perceived higher levels of barriers related to …

The Relationship Between A Functional Throwing Performance Test And Strength Of Various Scapular Muscles, Karen L. Bos, Kellie S. Gehrs, A. Louise C. Hester

Masters Theses

The purpose of this study was to determine the relationship between the strength of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior, and overhead throwing accuracy in 52 female collegiate softball players. The correlation between manual muscle testing (MMT) and hand-held dynamometry (HHD) was also examined. The Functional Throwing Performance Index (FTPI) was used to measure throwing accuracy. Spearman’s correlation analysis demonstrated no correlation between the strength assessments and throwing accuracy, as measured by the FTPI. Moderate correlations were found between MMT and HHD strength assessments of the lower and middle trapezius and serratus anterior muscles. A poor …

Effect Of Asymmetrical Loading And Walking Time On Surface Emg Activity Of The Lumbar Paraspinal Muscles, Michael Aenis, Angela Bueche, Brian Trembly

Masters Theses

BACKGROUND A high incidence of back pain is associated with carrying loads asymmetrically and is believed to be influenced by the amount of weight involved and the distance carried. PURPOSE (1) To study the effects of asymmetrical loading on lumbar paraspinal muscle activity. (2) To document ratings perceived exertion (RPE) for carrying an asymmetrical load. METHODS Electromyography (EMG) readings were obtained at the L2/L3 paraspinal level of 12 males and 12 females. All subjects completed three randomized 9-minute trials consisting of walking on a treadmill while carrying an asymmetrical load of either 0, 10 or 20% of their body weight. …

Emg Measurements Of Paraspinal Muscles And The Implications Of Adapting Hand Placement Protocols When Using Passive Extension Exercises, Mark Randell, Geoff Willson

Masters Theses

The purpose of this study was to determine if there is a significant difference in the EMG activity of the paraspinal musculature, based on the width of hand placement used in the McKenzie prone press-up position.

EMG recordings were taken using surface electrodes placed on the lumbar paraspinal musculature of thirty normal, volunteer subjects. These recordings were taken while the subject was in the prone press-up position. This was repeated three times with different widths of lateral hand placement. The resultant EMG recordings were normalized using a recording from a maximal effort of an isometric contraction. The mean EMG recording …

Patients' Perceptions Of Physicians' Role In Smoking Cessation By Age And Readiness To Stop Smoking, Chris Van Ryn, Joel Wetzel

Masters Theses

It is imperative for health care providers to initiate an individually tailored program to counsel smokers in a more effectively. Finding patients’ perceptions of their physicians' role in smoking cessation is critical to aid healthcare providers to design an individualized plan to get patients to quit smoking. 68 smokers who presented to their family practice clinics in the rural area of Hastings, Michigan completed self-administered questionnaires. The questionnaires assessed patients’ perceptions of their physicians’ role according to the 4 A s protocol (asking, advising, assisting, and arranging), with a focus on age groups (18-29, 30-49, and >50) and stage of …

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 …

Does The Method Of Treating Bacterial Vaginosis In Early Pregnancy Affect The Re-Occurrence Rate Near Term?, Karen Taylor

Masters Theses

There is no significant difference in the relationship between oral or vaginal metronidazole and oral clindamycin in the treatment of bacterial vaginosis (BV) in early pregnancy and the re-occurrence rate of BV at 35 to 37 weeks gestation. Treatment of BV in pregnancy has been shown to decrease the preterm delivery rate saving millions of dollars and improving the health of infants. This was a descriptive, correlational study using a retrospective chart review. A constructed checklist was used for collecting data from 186 charts.

Age, parity, and insurance were comparable in each of the three drug groups. The re-occurrence rate …

Impact Of Attention Deficit Hyperactivity Disorder (Adhd) On Parents And Children: What Are The Lived Experiences Of A Parent With A Child With Adhd?, Deborah K. Taylor

Masters Theses

The purpose of this study was to seek a fuller understanding of and to identify and describe the underlying themes of the lived experiences of a parent with a child with attention deficit hyperactivity disorder (ADHD). The Husserelian phenomenological and Giorgi methods of research were utilized in this study. Four meanings emerged: 1) discovery, 2) searching for control, 3) struggling for normalization/overcoming obstacles, and 4) hope. The synthesized structural description of the experience that emerged was described as an emotional experience that progressed in stages that were cyclic and ongoing in nature. The data suggests that chronic sorrow, as it …

The Effect Of Nutritional Supplementation And Exercise On Subjective Pain And Function In People With Osteoarthritis Of The Knee, Anna Power, Dan Scheffer

Masters Theses

Nutritional Supplementation of glucosamine sulfate and chondroitin sulfate are being promoted in the treatment of osteoarthritis. Recent research has indicated that gelatin was found effective. Moderate exercise is also being advocated. The purpose of this eight week double blind study was to examine the effects of the inexpensive nutritional supplement gelatin, in the form of Knox Nutrajoint, and exercise on pain and functional activity in 49 subjects with osteoarthritis in one or both knees. Subjects were randomly assigned to one of four groups: placebo, placebo plus exercise, gelatin supplement plus exercise and exercise. Exercise consisted of a progressive walking program. …

Concurrence Of Decreases In Barometric Pressure And Spontaneous Rupture Of Membranes In Term Gravid Women, Linda M. Owen

Masters Theses

A retrospective design was used to examine the relationship between spontaneous rupture of membranes in term gestation gravid women and decreased barometric pressure of ten millibars or greater in the twenty-four hours proceeding the rupture of membranes. Delivery logbooks and charts of all women who were admitted to a Midwestern Hospital in 1997-1998 with spontaneous rupture of membranes (N-533) were examined and data from the Midwest Climate Center was utilized to determine the changes in barometric pressure within the twenty-four hours proceeding the documented rupture of membranes.

No correlation was elucidated between the timing of spontaneous rupture of the amniotic …

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) …

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 …