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Full-Text Articles in Medicine and Health Sciences

Childhood Experiences Of Appalachian Women Who Have Experienced Intimate Partner Violence During Adulthood., Amy L. Reeves Dec 2004

Childhood Experiences Of Appalachian Women Who Have Experienced Intimate Partner Violence During Adulthood., Amy L. Reeves

Electronic Theses and Dissertations

Recent national surveys in the United States estimate one in five females will experience abuse by an intimate partner during her lifetime. Previous quantitative research linked childhood victimization to repeated victimization in adult relationships. This qualitative study explored the lived experiences of childhood in eight female victims of intimate partner violence who were born and reared in southern Appalachia. Interviews were analyzed using a descriptive-interpretative phenomenological method, as described by Van Manen. The three essential themes from childhood were identified as: living 'as if' an orphan; surviving in chaos; and, manifesting a devalued self. These themes were congruent with findings …


The Efficacy Of A School-Based Support Group On Adolescent Self-Esteem And Social Support, Julia Ann Smith Phd Oct 2004

The Efficacy Of A School-Based Support Group On Adolescent Self-Esteem And Social Support, Julia Ann Smith Phd

Dissertations

Adolescents are faced with daily obstacles that affect their ability to progress into adulthood successfully. Rising divorce rates and subsequent single parenting, adolescent pregnancy, drug and alcohol abuse, violence, and lack of parental involvement represent only a few of the many issues teens confront. School nurses are on the front lines, attempting to educate youth against an alarming rise in personal and social controversies that impede their ability to come to school ready to learn. As part of the educational team, school nurses are in a prime position to develop and integrate intervention strategies aimed at assisting adolescents during this …


Factors Influencing Middle-Aged And Older Latin American Women's Participation In Physical Activity, Stephanie Vaughn Phd May 2004

Factors Influencing Middle-Aged And Older Latin American Women's Participation In Physical Activity, Stephanie Vaughn Phd

Dissertations

Ethnographic methodology was used to explore the factors that influence middle-aged and older Latin American women's participation in physical activity. Semi-structured interviews and field observations were used to elicit information from the twenty five Latin American women in this study sample. Perceptions of health, the health activities in which the women engage, and the factors that influenced their participation in physical activity comprised the three categories of responses. Facilitators and barriers were identified as the two primary groups and were further sorted into intrinsic or extrinsic factors. A sense of self, decreased feelings of stress, wellbeing, managing chronic disease, the …


Functioning Among Taiwanese Families With A Child Having Duchenne Muscular Dystrophy, Jih-Yuan Chen Phd, Msn, Rn May 2004

Functioning Among Taiwanese Families With A Child Having Duchenne Muscular Dystrophy, Jih-Yuan Chen Phd, Msn, Rn

Dissertations

A cross-sectional study was designed to determine the factors with functioning among Taiwanese families with a child having Duchenne Muscular Dystrophy (DMD). This research investigated the level of a child's mobility upon family hardiness, functioning, and support from a family perspective. A total sample of 126 of participants was parents of children with DMD. Parents completed basic demographic information, the Family Assessment Device, Family Hardiness Index, Duke Health Profile, and Family APGAR. Pearson Correlation Coefficient test was performed to examine relationships between independent and dependent variables. To determine if the levels of child's mobility, family characteristics, family hardiness, family health, …


Keeping Safe: Field Public Health Nurses' Perceptions, Karen Nielsen-Menicucci Phd, Ms, Rn, Phn Apr 2004

Keeping Safe: Field Public Health Nurses' Perceptions, Karen Nielsen-Menicucci Phd, Ms, Rn, Phn

Dissertations

By the year 2005, there will be an estimated 1.25 million workers involved in providing nursing care to individuals in their homes (Bureau of Labor Statistics, 1997). There is limited empirical data available on the issue of safety of nurses within the context of home visiting or in the public health venue. Recent research on safety in home visiting has focused on home health rather than public health nursing. The purpose of this study was to explore and explain the perception of safety among field public health nurses. A purposive sample of 19 public health nurses employed in an official …


Postpartum Fatigue In The Active Duty Military Woman, Jacqueline D. Rychnovsky Phd Apr 2004

Postpartum Fatigue In The Active Duty Military Woman, Jacqueline D. Rychnovsky Phd

Dissertations

Up to 16,000 military women annually experience the birth of a child. Barring complications, regulations require a return to work 42 days postpartum, making them susceptible to the effects of postpartum fatigue. The purpose of this descriptive, longitudinal study of 109 military women was to describe fatigue levels across the first 6–8 weeks postpartum; to describe the relationship among selected psychological, physiological, and situational variables of fatigue; and to examine the relationship between predictor variables, fatigue levels, and performance after childbirth. The majority of the sample were married or partnered enlisted women in the U.S. Navy with a mean age …


The Effect Of A Nurse Practitioner Intervention On Women Referred For Screening Mammography, Susan Renee Carlson Phd Apr 2004

The Effect Of A Nurse Practitioner Intervention On Women Referred For Screening Mammography, Susan Renee Carlson Phd

Dissertations

The use of mammography for the early identification of breast cancer when tumors are small and potentially curable has been well documented. Unfortunately, the rates at which women comply with their health care providers' recommendation for screening mammography remain low. Many reasons have been identified for the failure to adhere with this recommendation; pain with procedure, cost, lack of physician recommendation, perceived radiation exposure, and fear of results have been cited. The purpose of this study was to identify the effect of a specific intervention by a nurse practitioner on adherence with screening mammography in a healthy population of women …


The Relationship Among The Types, Frequency And Resolution Of Moral Conflicts Perceived By Nurses In West Virginia And Their Educational Preparation, Educational Needs, And Selected Demographics, Nancy K. Dunn Jan 2004

The Relationship Among The Types, Frequency And Resolution Of Moral Conflicts Perceived By Nurses In West Virginia And Their Educational Preparation, Educational Needs, And Selected Demographics, Nancy K. Dunn

Theses, Dissertations and Capstones

Technological changes, interpersonal relationships, and scarce resources have created a complex environment for health professionals. Nurses, as the largest group of health care providers, are confronted with moral issues when dealing with managed care policies, end-of-life care and workplace or institutional issues. Moral issues are expressed as moral distress, which has been linked to decreased satisfaction, termination of employment and leaving the profession of nursing altogether. Moral distress, therefore, decreases the number of nurses and contributes to the critical nursing shortage. The purpose of this study was to examine the relationships, if any, among the types, frequency and resolution of …


Exploring The Clinical Nurse Educator's Ability To Foster Student Reflection, Jessie M. Johnson Jan 2004

Exploring The Clinical Nurse Educator's Ability To Foster Student Reflection, Jessie M. Johnson

Theses: Doctorates and Masters

The purpose of this study is to understand how Clinical Nurse Educators use reflective practices with students. While the value of reflective practice has been vigorously discussed in both nursing and educational literature, studies to support its benefits remain strangely elusive. The appeal of reflective practice has arisen out of a sustained conviction that life experience offers a legitimate and rich form of knowledge. If captured, it may narrow the gap between the non practical nature of theories and the complexities of everyday practice problems. The research question for this study is: "How do Clinical Nurse Educators foster student reflection?" …


Meeting The Challenge : The Female Carers' Perspective Of Managing Dyspnoea, Kim A. Skett Jan 2004

Meeting The Challenge : The Female Carers' Perspective Of Managing Dyspnoea, Kim A. Skett

Theses: Doctorates and Masters

The aim of this descriptive, explorative study was to describe the lived experience of informal carers providing care within the home, to a family member who has lung cancer and the symptom of dyspnoea. Many studies have highlighted the stressors associated with care provision, but no studies have focused on the experience associated with caring for a family member who is dyspnoeic. Ten carers were interviewed regarding their experiences of providing care to the family member during the palliative phase of the illness and while the family member was experiencing the symptom of dyspnoea. Analysis of the initial data highlighted …