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Articles 1 - 27 of 27
Full-Text Articles in Medicine and Health Sciences
Access To Care: A Hospice Model Of Access To Care For The Homeless, Mary Ann Bridget Kinney
Access To Care: A Hospice Model Of Access To Care For The Homeless, Mary Ann Bridget Kinney
Theses and Graduate Projects
Access to Hospice for the terminally ill patient is a monumental problem for the disenfranchised person. According to the National Coalition for the Homeless (NCH) in Washington D.C. there is an estimate of 3.5 million people who experience homelessness in a year (2003). The homeless face many health care service gaps including the vital service of end- of- life nursing care, which allows for death with dignity. The following paper will discuss the author's experience with the homeless, the need of access to Hospice Care for the homeless, and a review of literature regarding access to Hospice for the homeless. …
Benefits Of A Postgraduate Education: The Physician Assistants' Perspective, Jamie Cotter
Benefits Of A Postgraduate Education: The Physician Assistants' Perspective, Jamie Cotter
Theses and Graduate Projects
Background: This study was completed to better understand the use of postgraduate education in the physician assistant profession. This research project gathered information to better understand how physician assistants have utilized postgraduate education in their careers. The potential benefits of a postgraduate education were also examined from the perspective of the physician assistant. The overall goal was to determine the benefits of a PA postgraduate education. Methods: For this research project, a survey was completed by practicing physician assistants who attended the Minnesota Academy of Physician Assistants (MAPA) Conference/North Central Regional Meeting that was held on March 27-29, 2003. This …
Introduction Of Healing Touch Into An Established Torture Treatment Center: A Graduate Field Project, Kathleen Mccullough-Zander
Introduction Of Healing Touch Into An Established Torture Treatment Center: A Graduate Field Project, Kathleen Mccullough-Zander
Theses and Graduate Projects
Healing Touch, an energetic treatment modality developed by nurses, was introduced into an established torture treatment center with the goal of decreasing torture-related symptoms and increasing survivors' overall sense of well-being and health. Three methods of evaluation were used to determine if the project goal had been met. The first project objective of showing a decrease in participants' reported feelings of anxiety and depression was not achieved. The second project objective of demonstrating a reduction in participant's reported levels of pain was achieved with statistically significant results. The third project objective of obtaining statements of recognition of the therapy as …
Caring As Catalyst; A Model For Health Possibilities, Brenda A. Becker
Caring As Catalyst; A Model For Health Possibilities, Brenda A. Becker
Theses and Graduate Projects
This graduate field project presents a conceptual model based on the theoretical frameworks of Brentano, Frankl, Rogers, Merry, Benner, and Wrubel and is designed to facilitate the life journey to more complex levels. The model has a foundation in chaos theory and in the search for meaning. Key concepts of catalyst, presence, polarization, and participation are defined and described. Presence is defined at three levels: physical, psychological, and therapeutic. Participation is defined as a sharing of the life and experience between nurse and person. Polarization, or change in pattern, is also defined at three levels: active, collaborative, and passive. The …
A Model Integrating Transcultural Nursing Concepts And Experiences Into A Baccalaureate Nursing Curriculum, Mary Ellen Joswiak
A Model Integrating Transcultural Nursing Concepts And Experiences Into A Baccalaureate Nursing Curriculum, Mary Ellen Joswiak
Theses and Graduate Projects
Each dry the population of the world becomes more interconnected, placing huge challenges before health care providers to deliver care that is culturally appropriate. As the largest group of health care providers, nurses are especially challenged to provide culturally appropriate and congruent care to those they serve. It is therefore essential that nursing education provide students with opportunities to develop transcultural nursing knowledge. Students need practical experiences with culture in order to increase their understanding of cultural similarities and differences. The purpose of this project is to foster the development of beginning transcultural competence among baccalaureate nursing students and to …
Pain Expression: Lnsights From A Focus Group With Somali Women, Sheryl M. Ness
Pain Expression: Lnsights From A Focus Group With Somali Women, Sheryl M. Ness
Theses and Graduate Projects
ln recent years, the number of Somali persons being treated in health care settings in the community of Rochester is increasing. The understanding of the concept of pain within this population is important to consider for nursing practice in this region and across the U.S. A focus group was used to explore the expression of pain with 4 Somali women in Rochester Minnesota. This paper summarizes major themes and concepts from the focus group. lmplications for improving transcultural nursing care, including pain assessment, management and patient education are considered when looking at the results of the research. A vision of …
The Influence Of Social And Environmental Support On Diabetes Self-Management, Cheryl Mckee
The Influence Of Social And Environmental Support On Diabetes Self-Management, Cheryl Mckee
Theses and Graduate Projects
Background The reduction of diabetes complications depends on adherence to self-management behaviors. The current study was designed to examine the influence of multiple social-environmental levels of support on diabetic self-management behaviors in a lower income community. The eight distinct levels of social-environmental support studied were personal characteristics, physician and health team, family and friends, neighborhood, community, media and policy, community organizations, and the workplace. Methods An anonymous self-administered survey, consisting of questions about demographic features, hemoglobin AlC, self-management behaviors, and perceived support from multiple social-environmental levels, was completed by 36 diabetic participants from the Regions Family Physicians clinic. Results Significant …
The Prevalence Of Low Back Pain And Its Association With Body Mass Index, Lance Beebout
The Prevalence Of Low Back Pain And Its Association With Body Mass Index, Lance Beebout
Theses and Graduate Projects
The Prevalence of Low Back Pain and its Association with Body Mass Index Background: The question of whether obesity is a risk factor for the development of low back pain (LBP) has been the subject of considerable research. To date no clear consensus has been made concerning this highly debated issue. The purpose of this study is to determine whether overweight individuals, BMI > 25, reported higher incidences of LBP over the course of one year while accounting for other known risk factors for the development of LBP. Methods; This non-experimental study design utilized an eleven question survey to gather data …
Lifestyle Choices Of Minnesotan Physician Assistants: An Exploratory Investigation, Paul Mortlock
Lifestyle Choices Of Minnesotan Physician Assistants: An Exploratory Investigation, Paul Mortlock
Theses and Graduate Projects
Few studies address the physical health, mental health and quality of life issues for the physician assistant and the ways in which their personal choices are reflected in the assessment and recommendations of those served. This study evaluated the lifestyle choices of the Minnesota Physician Assistant and how PA choices influence the promotion of health. The particular problem statement for this thesis is: Are Minnesota Physician Assistants living a healthy life? Specifically, the sub problems are: (1) What are the lifestyle choices of Minnesota Physician Assistants and do their choices reflect healthy living; (2) What is the relationship between the …
The Prevalence Of Axis I Mental Disorders In Perpetrators Of Murder-Suicide In Minnesota In A Three-Year Period, Aaron Koppel Pitman
The Prevalence Of Axis I Mental Disorders In Perpetrators Of Murder-Suicide In Minnesota In A Three-Year Period, Aaron Koppel Pitman
Theses and Graduate Projects
Background: Murder-suicide is an uncommon but devastating act for everyone associated with the event. World-wide, murder-suicide occurs at a constant rate, between 0.2-0.3 per 100,000 people. One explanation for this constancy of murder-suicide incidence is a consistent underlying level of mental illness in all populations. Methods: Death certificates, The Femicide Report, newspaper articles, and supplemental homicide reports identified 30 murder-suicide cases involving 68 individuals within a three year period (1999,2000,2001) in Minnesota. Medical examiner records and the aforementioned sources provided data which was recorded on the Minnesota Violent Death Reporting System abstract form (MVDRS), adapted from the National Violent Death …
Does Body Mass Index (Bmi) Affect The Prevalence Of Pap Smears?, Debra Maas
Does Body Mass Index (Bmi) Affect The Prevalence Of Pap Smears?, Debra Maas
Theses and Graduate Projects
Background The pap smear test is highly effective at detecting pre-cancerous and cancerous cervical cells. However, only 68.3 percent of women in the U.S. received a Pap smear in 2001. Previous research studies have shown that overweight and obese women are less likely to receive routine pap smears. This is especially concerning because obesity is a risk factor for cervical cancer Methods A retrospective review of data was conducted from the medical records of 90 women, 18 years of age or older, who were seen by the researcher at SMDC clinics in Deer River and Remer, Minnesota from February 2003 …
Quality Of Life In Patients With Graves' Disease, Jennifer L. Smith
Quality Of Life In Patients With Graves' Disease, Jennifer L. Smith
Theses and Graduate Projects
Background Graves' disease is the most common cause of hyperthyroidism. Despite receiving treatment for hyperthyroidism, symptoms often persist, despite being chemically euthyroid. By performing this study, the researcher hoped to learn how the persistence of these symptoms affects quality of life in Graves' disease. Methods The questionnaire used was adapted from the Hyperthyroidism Complaint Questionnaire designed by Fahrenfort and Wilterdink, with results published in the February 2000 issue of psychoneuroendocrinoloy. The modified questionnaire was sent to members of the National Graves' Disease Foundation. Respondents were questioned on symptoms and affects on relationships, careers and overall functioning. Data was analyzed using …
Effects Of A First Responders Automatic External Defibrillator (Aed) Program On Patient Outcomes In A Rural Emergency Medical Service System, Michael D. Olson
Effects Of A First Responders Automatic External Defibrillator (Aed) Program On Patient Outcomes In A Rural Emergency Medical Service System, Michael D. Olson
Theses and Graduate Projects
Background For patients in cardiac arrest the most important variable in survival is rapid activation of emergency medical services to provide early defibrillation. Previous studies have indicated that for the greatest chance of survival the patient must be defibrillated within six minutes of collapse. In September of 2002 the Fairmont police department placed AED's in the medical kits of their officers in an effort to improve the chances of survival for the cardiac arrest patients in the city. This study is an attempt to gauge the success of this AED program by Iooking at multiple variables in the care of …
Motivation For Medicine: What Factors Influence Men And Women To Enter Physician Assistant School Versus Medical School?, Ross Golla
Theses and Graduate Projects
Background The purpose of this study was to distinguish what factors were most significant in medical and physician assistant student's decision to enter medicine, in addition to comparing male and female student's motivation. Methods A survey consisting of potential motives or deterrents for entering medicine was given to medical and PA students. Results were analyzed using an independent T-test. Results PA students reported greater significance on the duration of academic and clinical training, the ability to balance work and family, the opportunity to achieve a high income, dealing with malpractice allegations and the need to be on-call as motives for …
The Prevalence Of Herbal Product Use In The Treatment And Management Of Diabetes In The Latino Population, Gobind Tarchand
The Prevalence Of Herbal Product Use In The Treatment And Management Of Diabetes In The Latino Population, Gobind Tarchand
Theses and Graduate Projects
Background. Healthcare providers are often concerned about the use of alternative treatments by patients of Hispanic decent. Herbal product use is one type of alternative treatment that is most concerning. This study examined the prevalence of herbal product use for diabetes control by a sample of patients of Hispanic decent. Methods. A convenience sample of 42 patients of Hispanic decent with type 2 diabetes was surveyed. Following a descriptive, quantitative design, questionnaires were available in both English and Spanish and were distributed to participants by the diabetic educator at La Clinica en Lake. Questions were asked about demographics, diabetes status …
Bioterrorisrn Preparedness Of Rural Hospitals Compared To Urban Hospitals In Minnesota, Lee G. Schotzko
Bioterrorisrn Preparedness Of Rural Hospitals Compared To Urban Hospitals In Minnesota, Lee G. Schotzko
Theses and Graduate Projects
Bioterrorisrn has been a threat to many cultures around the world for centuries. The first record of their use dates back to 184 B.C. in a battle between Hannibal and King Eumenes of Peranum. Within the past five years, the concern over biological weapons and bioterrorism has greatly increased in the United States because of worldwide political dynamics. Is the United States prepared for a bioterrorism attack? Is Minnesota prepared for an attack? These are important questions, and many experts have not agreed upon the answers. Currently there is no industry standard for hospitals in regards to bioterrorisrn preparedness. Utilizing …
What Specific Characteristics Influence Patients To Receive Their Health Care From A Physician Assistant?, Christine L. Rogers
What Specific Characteristics Influence Patients To Receive Their Health Care From A Physician Assistant?, Christine L. Rogers
Theses and Graduate Projects
Background. This research investigated patient satisfaction with physician assistants in a primary health care. The literature reviewed concluded high patient satisfaction ratings resulted because of the clinicians strong interpersonal skills, easy accessibility, adequate time was spent, were good listeners, explained medical issues well, and were courteous and respectful. The study looked at what specific characteristics influenced high patient satisfaction ratings with physician assistants. It also looked at the top three characteristics that were important to the patient and whether the patient would see the PA again. Methods. A patient satisfaction survey was give n to 92 patients at Allina clinic …
Correlation Between Nutritional Knowledge And Food Choices In Seventh Grade Students, Jennifer Rysavy
Correlation Between Nutritional Knowledge And Food Choices In Seventh Grade Students, Jennifer Rysavy
Theses and Graduate Projects
Background Diets of adolescents in the United States are not meeting the Food Pyramid guidelines, especially for fruits, vegetables, and dairy, yet they are far exceeding the recommended daily allowance for fat and added sugars. Even though adolescents possess nutritional knowledge, they are often choosing foods based on their taste, rather than their nutritional value. This study aimed to explore the relationship between nutritional knowledge and food choices in seventh grade students. It also evaluated the relationship gender had on nutrition knowledge and food choices. Method Nutritional knowledge and food choices were studied in two seventh grade health classes at …
Determinants Of Safety Device Use In Adults Age 18-22 Years., Amanda J. Rajala
Determinants Of Safety Device Use In Adults Age 18-22 Years., Amanda J. Rajala
Theses and Graduate Projects
Background: The determinants of safety device use and non-use, in 18-22 year olds, are not clear and were targeted in this research. The literature revealed that safety devices are used due to personal safety, habit and legal reasons. Safety devices are not used due to physical discomfort, only drive/ride short distances and forgetfulness. Methods: This study is a multivariable, quantitative-non-experimental study, conducted on the campus of Augsburg College during an orientation event in June 2003. A multiple choice written questionnaire was distributed to participants of the orientation event. The identification of trends and patterns were determined to establish the determinants …
Hospice Care: Physician Assistants' Ratings Of Their Knowledge And Attitudes, Karen Farrington
Hospice Care: Physician Assistants' Ratings Of Their Knowledge And Attitudes, Karen Farrington
Theses and Graduate Projects
To date there is little, if any, published data regarding hospice patients and physician assistants; there is a substantial amount of data available regarding physicians and hospice care. The purpose of this study was to determine if physician assistant attitudes and knowledge regarding hospice influenced their referral practices and compared those findings to physicians. Physician assistants who were current members of the Minnesota Academy of Physician Assistants were surveyed regarding knowledge and attitude towards hospice services. A total of 55 subjects (response rate of 55%) responded to the mailed survey, 60% of which were female. Respondents ages 40 years or …
The Female Athlete Triad: Role Of The Coach In Prevention And Intervention, Michelle Turner Breiland
The Female Athlete Triad: Role Of The Coach In Prevention And Intervention, Michelle Turner Breiland
Theses and Graduate Projects
Introduction The Female Athlete Triad consists of disordered eating, amenorrhea, and osteoporosis. Eating disorders affect between 1-10% of adolescent and college age women (Haller, 1992),particularly in women's' sports in which leanness is considered important for performance such as cross-country running. Methods A three page 17 item questionnaire was sent out to 45 coaches of women's Division III cross-country teams in the Midwest region of the US. Descriptive statistics were run on the data. Results Results showed that 8% of coaches have coached an athlete with a diagnosed eating disorder. Of the top three topics for team discussions, 9% of coaches …
Physical Activity Levels And Social Influences In Rural Minnesotan Hmong Children And Adolescents, Kimberly Smith
Physical Activity Levels And Social Influences In Rural Minnesotan Hmong Children And Adolescents, Kimberly Smith
Theses and Graduate Projects
Background Research has shown that physical activity levels are declining in children and adolescents of racial and ethnic minority groups. It has been suggested that social influences may play an important role in these trends. A large and growing Hmong population exists in Minnesota and there is no data regarding physical or sedentary activity trends or possible underlying social influences within this group. This study examined the physical activity levels, sedentary leisure habits, and social influences in a group of Hmong children and adolescents Methods. Following a descriptive, qualitative design, a sample of 45 Hmong children and adolescents in a …
The Amount Of Prenatal Care In Women Thirty-Five Years And Older And It's Effects On Birth Weight, Gestational Age And Apgar Scores, Amy Moe
Theses and Graduate Projects
Background Prenatal care is essential to the health of mothers and their babies. It is unclear what aspects of prenatal care influence maternal and infant health the most. The purpose of this study was to determine if the amount of prenatal care visits a woman thirty-five years or older receives impacts the newborn's health, Methods The medical records of all women thirty-five years of age and older who gave birth at Cambridge Allina Medical Center in a one-year period were reviewed. The number of prenatal care visits for each subject was correlated with the birth weight, gestational age and Apgar …
Patients' Perceptions Of Herbal Medicines And Natural Supplements, Penny L. Vinnedge
Patients' Perceptions Of Herbal Medicines And Natural Supplements, Penny L. Vinnedge
Theses and Graduate Projects
Background Herbal medicine and natural supplement use is becoming more popular among the general population. They are being used as adjuncts to conventional medicine, in place of conventional medicine, or as a last resort after failure of conventional medicine. There are benefits and downfalls to these alternative therapies. The problem is determining what beliefs patients have about herbs/supplements and how they form these beliefs. Methods A written survey was distributed to patients visiting a family practice clinic over a single week. Descriptive statistics were obtained to determine frequencies and totals of data and two types of inferential statistics were performed …
Attitudes Of Expectant Fathers Regarding Breastfeeding And The Effect Of The Expectant Father On The Expectant Mother's Intention To Breastfeed, Danielle M. Semling
Attitudes Of Expectant Fathers Regarding Breastfeeding And The Effect Of The Expectant Father On The Expectant Mother's Intention To Breastfeed, Danielle M. Semling
Theses and Graduate Projects
Background: previous studies regarding breastfeeding have demonstrated the importance of the father in the infant feeding decision and shown that mothers were more likely to breastfeed if the father had a positive opinion of breastfeeding. Methods: This study intended to determine what attitudes fathers had regarding breastfeeding and if a positive view of breastfeeding by a father correlated to the intention of his partner to breastfeed. The subjects for the study were couples participating together in one of two birth and parenting classes- The mothers were questioned about their intended breastfeeding decision, their perceived support from their male partner and …
Influences On The Mother's Decision To Breastfeed Her Infant, Melissa Rae Kennedy
Influences On The Mother's Decision To Breastfeed Her Infant, Melissa Rae Kennedy
Theses and Graduate Projects
Background Nutrition is essential to the health and development of infants and children' The American Academy of pediatrics, [the American Academy of Family Physicians] and the world Health organization recommend breast milk as the best form of nutrition for at least the first year of an infant's life due to the health benefits it provides children and mothers (American Academy of Family physicians, 2000, Pletta, Eglash, & Choby, 2000). Increasing the rates of both initiation of breastfeeding and duration of breastfeeding are national health objectives. Methods The research design is a prospective descriptive study. The study included 43 pregnant women …
Rural Physician Assistant Job Satisfaction And Factors That Lead To Satisfaction, Jody Ann Giza
Rural Physician Assistant Job Satisfaction And Factors That Lead To Satisfaction, Jody Ann Giza
Theses and Graduate Projects
Background. PAs play a critical role in serving under-served rural communities. It will be of benefit to the rural communities in Minnesota to idenitfy what practice and community factors work to recruit and retain a high percentage of PAs to rural practice in Minnesota' Methods A written questionnaire was mailed to PAs working in rural Minnesota who are members of MAPA, The survey explored community and practice aspects that contribute to job satisfaction. Results Ninety-two percent of respondents stated they were satisfied to very satisfied with their overall practice. Overall practice satisfaction was most strongly positively correlated with acknowledgment from …