Medicine and Health Sciences Commons^™

Primary Care Nurse Attitudes, Beliefs And Confidence Levels Regarding Alcohol Abuse And Its Treatment: Impact Of Educational Intervention., Raja Sekhar Vadlamudi

Electronic Theses and Dissertations

Alcohol abuse has been a major burden on the society. In the fight against it a key issue the education of the primary care nurses has been ignored. This study evaluates the effect of education program on the attitudes, beliefs, and confidence levels of primary care nurses regarding alcohol abuse and its treatment. Data from the Project Mainstream educational intervention were used with permission from the investigators. Two hundred one students and faculty of nursing at Vanderbilt University participated in the intervention, which was designed to train primary care providers in the Brief Negotiated Intervention technique for early detection and …

Disaster And Emergency Communications Prior To Computers/Internet: A Review, John W. Farnham

Faculty Publications and Other Works -- Nursing

When communications are needed the most desperately and most urgently, the difficulty of effecting the desired communications increases exponentially. Recent natural disasters in different parts of the world have provided eloquent testament to this. The history of disaster or emergency communications can provide us with a foundation for understanding the problems encountered today, and can offer us insight into how we might improve the systems and processes for communications. The first applications of communication technology that allowed messages to be sent more rapidly than the fastest form of transportation were mainly military in origin. This review takes us from the …

Trapped In A State Of Mitigating Danger: Forgotten Process, Forgotten Women, Alva Hunt Reid

Doctoral Dissertations

Women who are in intimate partner abusive relationships undergo a change process, which is a spectrum of emotional and behavioral responses to violence that is identifiable in stages. The end result is that women terminate their relationships or renegotiate their circumstances to halt the violence: Treatment protocol for abused women is shifting to individualized intervention based on these stages. Leaving and returning to an abusive relationship is a predominant theme in the change process that has not been investigated.

The present study examined this forgotten leave-return process in a sample of forgotten women. Grounded theory methodology was utilized to describe …

Chlorpyrifos In Human Breast Milk?, Karyn Ann Casey

Doctoral Dissertations

The widespread use of pesticides by farmers, pest control operators and even the general public can pose significant risks to children's health. One particular pesticide, chlorpyrifos, was the most widely used pesticide in the United States with total use estimated at approximately 30 million pounds per year. Young children and the developing fetus are far more susceptible to the effects of pesticide exposure as a result of unusual exposure patterns and developmental immaturities. Transplacental transfer and lactational exposure are the pathways exclusive to the developing fetus and infant. Chlorpyrifos exposure is of special concern in this population because of its …

Job Satisfaction Among Staff Nurses In Mental Health Units In A Va Facility, Edith R. Lombard

Master's Projects

Studies have indicated that work environment in mental health is stressful, however, few studies have focused on staff working in acute mental health settings (Jenkins & Elliott, 2004). The purpose of this study was to describe job satisfaction among a sample of mental health staff nurses who were caring for patients with acute psychiatric disorders in a federal hospital. The second purpose was to determine if there were relationships between global job satisfaction and ethnicity, years in the organization, current unit, field of nursing, working with patients with mental disorders and age of staff nurses. An anonymous survey was distributed …

Nurse's Perceptions Of Causes Of Medication Errors And Barriers To Reporting, Virginia M. Ulanimo

Master's Projects

Objective: To describe medical-surgical nurses' perceptions of frequent causes of medication errors, of what constitutes a medication error, and of what are the barriers and empowerments to reporting. The study also explored the nurses' perceptions of the effect of physician order entry (POE) and barcode medication administration (BCMA) on medication errors. Background: Causes of medication errors have been investigated by numerous researchers in an attempt to determine safe medication administration process. Information technology (IT) systems enhance patient safety. No published studies were found on nurses' perceptions of medication errors in a setting with IT systems in place. Method: A descriptive …

The Only Way Out Is To Die: Perceptions And Experiences Of Rural, Homebound, Older Diabetics, Sharon Robbins George

Doctoral Dissertations

The purpose of this phenomenological study was to investigate the meaning of diabetes, as perceived and experienced by rural, homebound, 65-year and older, diabetics requiring insulin. The sixty-five year and older persons are disproportionately affected by diabetes. They are more likely than younger diabetics to have co-morbidities, disabilities and difficulty preventing diabetic complications. Guidelines for diabetes management and treatment developed by the American Diabetes Association are not specifically targeted for the 65-year and older population. Phenomenological research was used to examine and describe the understanding of diabetes from perspectives of older diabetics.

A purposive sample of participants was recruited from …

Evaluation Of An Oral Health Training Program For School Nurses, Linda Drengler

Master's Projects

Pediatric dental disease is a silent epidemic (Committee on Health, Education, Labor, and Pensions, 2002). Dental decay is commonly unrecognized and under-treated, and can affect children's growth and development as well as their ability to perform in school. Effective interventions to prevent dental decay include water fluoridation, dental sealants, pediatric dental screenings, and dental health education programs. This pre-experimental design study evaluated the effectiveness of an oral health training program for school nurses. This training program was designed based on the First 5 California <;>ral Health Training Program (2003). A non-randomized sample of fourteen (N=l4) school nurses participated in the …

Evaluation Of The Effectiveness Of A Diabetes Managment Training Program For Unlicensed Assistive Personnel In Schools, Elaine M. Gomer

Master's Projects

This study evaluated the diabetes management-training program for unlicensed assistive personnel (UAP). The purpose of the program was to prepare UAP to recognize and respond to the health care needs of students diagnosed with diabetes mellitus. Twenty UAP participated. Teaching strategies were based on Albert Bandura' s social learning theory~ Two instruments were administered before and after the program. One was a 1 0-question survey addressing self-efficacy; the other was a 10 question multiple-choice test measuring knowledge of diabetes. Results of paired t tests indicate consistent and significant improvement in both perceptions of self-efficacy and knowledge (p < .05). This program provides a framework for school nurses training UAP that assist in the health care of students with diabetes. It is important that school nurses capitalize on the contribution that informed confident UAP might contribute to the provision of safe quality care to students with diabetes.

Evaluation Of An Oral Health Training Program For School Nurses, Kelley Haines-Kolostian

Master's Projects

Pediatric dental disease is a silent epidemic (Committee on Health, Education, Labor, and Pensions, 2002). Dental decay is commonly unrecognized and under-treated. Dental disease can affect children's growth and development as well as their ability to perform in school. Effective interventions to prevent dental decay include water fluoridation, dental sealants, pediatric dental screenings, and dental health education programs. This pre-experimental design study evaluated the effectiveness of an oral health training program for school nurses. This training program was designed based on the First 5 California Oral Health Training Program, First Smiles (First Smiles Program of California, 2003). The presentation was …

Perceptions Of High Risk Behaviors Among Culturally Diverse Adolescents And The Role Of Parental Influence And Parent Communication, Sharlene E. Junio

Master's Projects

Eighty seven ethnically diverse 9th and 1oth graders from an urban high school in Northern California were studied. Students were mostly female, between 14 and 16 years of age, and reported to be mostly Asian and Filipino. Students completed an 18-item Likert scale questionnaire requesting information about their overall relationship with their parents and their communication with their parents about drugs, sex, alcohol, birth control, and personal problems. Results of this study showed that participants rated their overall relationship with their parents as "good" or "very good." Despite this, communication was lacking among parents and adolescents in all topics of …

Being Whole: Aligning Personhoods To Achieve Successful Childbirth With A History Of Childhood Sexual Abuse During Perinatal Services, Karla Kendall Richmond Phd, Msn, Rnc, Cns

Dissertations

Being a pregnant female is a temporary condition. A woman with a history of childhood sexual abuse aligns the personhoods of child victim, adult survivor and pregnant female to achieve a successful pregnancy, labor, delivery and postpartum experience. Female survivors desire to be recognized and function as whole being during the perinatal experience. It is estimated that 15 to 32 percent of females prior to the age of eighteen have unwanted sexual contact. Female survivors carry this history of childhood sexual abuse (CSA) with them throughout their lives which may involve childbirth. There are many long-term psychological consequences that can …

Nurses' Perception Of Family Presence During Resuscitation, Josephine Njoku

Master's Projects

Background Family witnessed resuscitation (FWR) is the concept of allowing family members at bedside during cardiopulmonary resuscitation. Studies have shown that the lack of standard policies by hospitals regarding FWR forces nurses to make different decisions regarding family presence at bedside during resuscitation. The framework for this study is Sandman's teleological model. Objectives To examine nurses' perceptions of having family members present during adult cardiac resuscitation. Methods A descriptive study of 57 registered nurses (n = 57) from northern California was conducted. Participants completed a mailed survey consisting of a 22-item Likert scale questionnaire titled "Family Presence Risk-Benefit Scale." Results …

Psychometric Evaluation Of The Shared Care Instrument In A Sample Of Home Health Care Family Dyads, Margaret Sebern

College of Nursing Faculty Research and Publications

Researchers have studied negative effects of caregiving on a family caregiver; however, less is known about positive aspects of exchanging assistance for both members of a family caregiving dyad. In a previous naturalistic inquiry the author indentified a basis for studying caregiving interactions was a construct called shared care. The three components of shared care identified in the naturalistic inquiry were communication, decision making, and reciprocity. The Shared Care Instrument (SCI) was developed to measure the construct. The purpose of this study was to assess the psychometric properties of the SCI, and to assess its construct and criterion-related validity. A …

Ua61/1 Advisory Committee Meeting Minutes, Wku Nursing

WKU Archives Records

Minutes of the WKU Nursing Advisory Committee meeting.

Chronically Ill Adolescents' Involvement In Health Treatment Decision Making, Edna B. Domingo Phd

Dissertations

The purposes of this study were to explore preferences for involvement of chronically ill adolescents in health treatment decision-making; describe, explain and predict relationships and differences in self-confidence in decision-making between older and younger chronically ill adolescents; and explore relationships between severity of symptoms and self-confidence in health treatment decision-making among chronically ill adolescents. Ten to twenty million American children have some type of chronic illnesses with 90% survival to adulthood. There is lack of current literature on adolescent preferences for involvement in health care decisions. Courts and legislators assume that minors lack the requisite capacity for information, and lack …

Psychosocial Responses By Adolescent Male Victims To Peer Bullying, Karin Eve Reuter-Rice Phd

Dissertations

Bullying remains a pervasive problem in most schools throughout the nation. Peer-bullied victims report higher levels of depression, suicidal ideation, anxiety, and concerns regarding their safety in school. Reactions of victims to peer bullying have been extreme, as in the cases of the rampage school shooters. Primarily, current research has not focused on the high school adolescent, although most school shooters arise from that age group. The overall purpose of this study was to examine the psychosocial responses by adolescent male victims to peer bullying. Research questions addressed the frequency and severity of peer-victimization, distress, anxiety, and their perception of …

Nursing Education And Service Collaboration: Making A Difference In The Clinical Learning Environment, Sheri P. Palmer, Amy Harmer Cox, Lynn Clark Callister, Vickie Johnsen, Geraldine Matsumura

Faculty Publications

This article focuses on innovative collaborative steps that were identified in recent research conducted by these authors on the relationship between academia and service. These steps are currently being implemented in the hope of improving the important role that the critical environment plays in student nurses' education. Few factors in nursing education are as important as the clinical environment in which students do their training. This article elaborates on these steps and offers practical suggestions for improving the relationship between academia and service.

A Systematic Review Of Mammography Educational Interventions For Low-Income Women, Tatiana Bailey, Jorge Delva, Kimberlee A. Gretebeck, Kristine Siefert, Amid I. Ismail

College of Nursing Faculty Research and Publications

Objective

We conducted a systematic review to examine the effectiveness of educational interventions in increasing mammography screening among low-income women.

Data Sources

Bibliographic databases, including MEDLINE, The Cochrane Central Register of Controlled Trials, The Cochrane Database of Systematic Reviews, and the ISI Web of Science, were searched for relevant articles.

Study Inclusion and Exclusion Criteria

Randomized, community-based trials targeting low-income women and published between January 1980 and March 2003 were included.

Data Extraction

The search yielded 242 studies; 24 met all inclusion criteria.

Data Synthesis

Three studies used mammography vans, three used low-cost vouchers or provided free mammograms, three used …

The Changing Treatment Paradigm In Patients With Newly Diagnosed Multiple Myeloma: Implications For Nursing, Joseph Tariman

Joseph D Tariman PhD

No abstract provided.

Experts Recommend Strategies For Strengthening The Use Of Advanced Practice Nurses In Nursing Homes., Mathy Mezey, Sarah Greene Burger, Harrison G Bloom, Alice Bonner, Mary Bourbonniere, Barbara Bowers, Jeffrey B Burl, Elizabeth Capezuti, Diane Carter, Jacob Dimant, Sarah A Jerro, Susan C Reinhard, Marilyn Ter Maat

College of Nursing Faculty Papers & Presentations

In 2003, The John A. Hartford Foundation Institute for Geriatric Nursing, New York University Division of Nursing, convened an expert panel to explore the potential for developing recommendations for the caseloads of advanced practice nurses (APNs) in nursing homes and to provide substantive and detailed strategies to strengthen the use of APNs in nursing homes. The panel, consisting of nationally recognized experts in geriatric practice, education, research, public policy, and long-term care, developed six recommendations related to caseloads for APNs in nursing homes. The recommendations address educational preparation of APNs; average reimbursable APN visits per day; factors affecting APNs caseload …

Mothers’ Support Options During Childbirth: A Survey Of Hospital Obstetrical Units In The Southeastern Region Of The United States, Hila J. Spear

Faculty Publications and Presentations

This study examined hospital policies and procedures related to maternal support during childbirth and the promotion of breastfeeding among mothers who give birth by cesarean. Overall, the findings revealed hospital-based practices and protocols that facilitated positive chibirth experiences and that were supportive of breastfeeding for mothers regardless of mode of delivery.

Rain Rhythms: Fall 2005 - Spring 2006, College Of Nursing & Professional Disciplines

RAIN Rhythms

No abstract provided.

Nurses Alumni Association Bulletin, Fall 2005, Paula Levine, Elizabeth K. Prisnock, Sally H. Wagner, John J. Wagner

Nursing Alumni Bulletins

2005 - 2006 Meeting Date Calendar

2006 Annual Luncheon & Meeting Notice

Officers, Committee Chairs, Satellite and Volunteers

Bulletin Publication Committee

The President's Message

Treasurer's Report

Resume of Minutes

Office News

Committee Reports

• Relief Trust Fund
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Annual Giving

Janet C. Hindson Award Recipients and Nominees

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Quotes from Letters on Nursing at Jefferson

Biography of Lenora Schwartz, '66

News About Graduates

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U.S. Cadet Nurse Corps

Normandy Nightingales Weathered War's Worst …

Shared Care, Elder And Family Member Skills Used To Manage Burden, Margaret Sebern

College of Nursing Faculty Research and Publications

Aim. The aim of this paper is to further develop the construct of Shared Care by comparing and contrasting it to related research, and to show how the construct can be used to guide research and practice.

Background. While researchers have identified negative outcomes for family caregivers caused by providing care, less is known about positive aspects of family care for both members of a family dyad. Understanding family care relationships is important to nurses because family participation in the care of chronically ill elders is necessary to achieve optimal outcomes from nursing interventions. A previous naturalistic inquiry …

Cigarette Smoking Among Low-Income African Americans: A Serious Public Health Problem, Jorge Delva, Marisol Tellez, Tracy L. Finlayson, Kimberlee A. Gretebeck, Kristine Siefert, David R. Williams, Amid I. Ismail

College of Nursing Faculty Research and Publications

Background

This study examines the current prevalence of cigarette smoking and the number of cigarettes smoked in a community-based sample of 1021 low-income African-American men and women.

Methods

Participants were selected using a two-stage, area probability sample design. Data were collected in 2002–2003 in face-to-face interviews and analyzed in 2005. All data and analyses were weighted to account for the complex sampling design.

Results

Fifty-nine percent of men and 41% of women were current smokers, with younger individuals apparently initiating smoking at an earlier age than older individuals.

Conclusions

The high prevalence of cigarette use provides further evidence that the …

Community Hospital Risk Management, Vikas Singh

Vikas Singh

EXECUTIVE SUMMARY:

The Panacea community hospital in the Hot springs County, Arkansas is a big community hospital 52-inpatient beds providing medical. Surgical, mental health, pediatrics, Ob-gyn services and emergency care.

Of late there has been serious concern about the patient safety and quality of patient care delivered by the hospital. Close examination for the causes of the unsatisfactory quality of care and patient safety reveals that the hospital lacks proper and adequately supported risk management department. One employee only who is a part of the Quality Improvement cell sees the risk management program of the hospital and there is lack …

Measuring Nurse Workload In Ambulatory Care, Beth Ann Swan Phd, Crnp, Karen F. Griffin Msn, Rn, Cnaa

College of Nursing Faculty Papers & Presentations

Nurses and adequate nurse staffing are critical to the delivery of safe, cost-effective, and quality patient care in every health care setting.

This has been proven time and again through various research studies and recognized by various accrediting bodies such as JCAHO.

However, the information available on required or optimal ambulatory care nurse staffing is limited and varies across ambulatory care settings.

An overview of instruments for measuring nursing workload in ambulatory care, a critical prerequisite when identifying best nurse staffing models for diverse ambulatory care settings, is provided.

Protocol For Determining Fertility While Breastfeeding And Not In Cycles, Richard Fehring, Mary Lee Barron, Mary Schneider

College of Nursing Faculty Research and Publications

A protocol was developed and evaluated for nonovulating breastfeeding women to determine potential fertility with an electronic hormonal fertility monitor. The amount of required abstinence (i.e., days of potential fertility) through the first menstrual cycle indicated by the fertility monitor was significantly lower (17% of the total days) compared with the amount of abstinence (50% of the total days) indicated by the self-observation of cervical mucus.

Nursing Students' Knowledge And Attitudes Regarding Pain And Pain Management, Ruth L. Schaffler Phd

Dissertations

Pain is a universal human experience and is a primary reason people seek health care; however, undertreatment of pain has been reported in the literature as a significant clinical problem for more than three decades. Researchers have concluded that nurses have inadequate knowledge of pain assessment, are misinformed about opioids, and have inappropriate attitudes about pain and pain management that lead to the undertreatment of pain. One question is whether those misconceptions are acquired in nursing school or whether they are present when students enroll in nursing programs. The purpose of this quasi-experimental study was to examine the attitudes regarding …