Medicine and Health Sciences Commons^™

A Delphi Survey Of Experts’ Opinions Regarding Prevention Of Impairment In Professional Psychology Training, Kin-Ming Chan

Dissertations

This study sought to identify the most important measures that may be implemented in professional psychology training to prevent the future impairment of professionals. An adjunctive research question of this study addressed how these important measures can be successfully implemented. A 2-round Delphi method was conducted. Twenty-eight experts in impairment prevention participated in the first round study, and 20 of them continued to participate in the second round. In the first round, the experts rated the importance of an original list of 38 preventive measures, suggested additional important preventive measures, and provided considerations for successful implementation of their most important …

Patient Handling Safety For Nursing Staff, Don Nielsen

Dissertations

The effectiveness of video scoring and feedback about the scoring of the components of safe patient transfers was observed among eight nursing staff members in a skilled nursing department within an acute care hospital.

An ABCA (and sometimes ABCDA), multiple baseline across individuals design was utilized in the study. The dependent variable under investigation was the percentage of safe lifting components. Following baseline measures, nursing staff participated in an information phase during which they reviewed and discussed components of safe patient transfers. A video scoring phase was introduced, during which, participants viewed and scored a model video of a patienttransfer. …

African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd

Dissertations

African-American children have their sexual debut (first voluntary penile-vaginal penetration) earlier thus are at disproportionately greater risk for more sexual partners and sexually transmitted infections. Father-child reproductive health communication was found to influence the timing of sex in other children however, a dearth of studies in African-American fathers existed. In this qualitative study reproductive health communication was explored in tape-recorded interviews of 19 African-American fathers from the perspective of critical theory, with the use of critical ethnography as methodology. How the content and pattern of reproductive health communication influenced sexual debut, and how fathers' moral/ethical stances influenced reproductive health communication …

Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd

Dissertations

Self-esteem and body image disturbances prominently figure into many physical and psychological health disorders such as depression, eating disorders, anxiety disorders, and chemical dependency. In Euro-American culture, media images of femininity and physical attractiveness reinforce generally held perceptions of the idealized female beauty as tall, white, slender, and often blond and blue eyed. The physical morphology of African-American women does not genetically "fit" this westernized standard of beauty with implications for their mental health. The socialization of African-American women in a culture that embraces a different ethnic standard of beauty influences their perceptions of how physically attractive they see themselves. …

What Are They Saying: Voices From The Inner City? Lived Experience Of Inner City African American Adolescents With Asthma, Othello Childress Phd

Dissertations

The purpose of this study was to investigate the lived experience of African-American adolescents with asthma who reside in an inner city community. The research in this area of interest is sparse, yet the morbidity and mortality rates related to asthma within the African-American population are greater than the general population. This study offers the experience of living with asthma from the perspective of the young African-American adolescent. Using phenomenological methodology, the nurse researcher selected 13 African-American adolescents; aged 12 to 15, who reside and attend middle school in the inner city. All of the participants had a confirmed medical …

Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd

Dissertations

While broad categories of health and influences on definitions of health have been identified, the process through which adults define and re-define health has not been researched. The purpose of this study was to investigate the process of defining health and appropriate health-related behaviors following a near-death experience (NDE) as an adult and to articulate a grounded theory of decision-making. Five men and 15 women from the United States and United Kingdom were interviewed and the data were analyzed using the constant comparative method. The basic social process was I Still Had to Go Through the Process of Understanding. Understanding …

The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd

Dissertations

Coronary artery bypass grafting surgery (CABG) is a stressful event and requires coping strategies to achieve adaptation. In Taiwan, despite the fact that the incidence of CABG is increasing in both men and women, research on post-CABG adaptation is very limited and no research focuses on outcomes for women. This can lead to problems for health care providers who lack effective interventions to help these patients. The purpose of the study was to examine the relationship between coping, anxiety, and quality of life in Taiwanese post-CABG patients. A cross-sectional correlational design was used; the sample consisted of 50 female and …

Healthy Lifestyles Of Adults In A Work Setting, Kim Schafer Astroth

Dissertations

Nurses have a key role in promoting healthy lifestyles to reduce incidence of disease in adults. Since the 1980¿s, researchers have recognized readiness as a key component of adopting healthy lifestyle change. Prochaska¿s transtheoretical model, which contains readiness, or stage of change, served as the theoretical framework for the current study. The purpose of this study was to test an exercise behavior model, and in so doing: (a) compare the concurrence rates of exercise stage of change classifications obtained from the four selected exercise stage of change self-report measures; and (b) determine the relative strength of the predictive factors of …

Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd

Dissertations

Adoption of clinical innovations by Nurse Practitioners (NP) is a complex phenomenon, rooted in personal values and influenced by challenges within health care environments. When clinical innovations are adopted or rejected by NPs, this decision has meaning for patients, NPs, health care agencies, and society. The decision controls the opportunity for patients to access a clinical innovation that could reduce morbidity and mortality, save money, and provide satisfaction related to the health care encounter. The purpose of the study was to increase knowledge about NP adoption of clinical innovations, particularly emotionally-laden clinical innovations. The lines of inquiry focused on what …

A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd

Dissertations

This retrospective quasi experimental study evaluated the effectiveness of Planetree's patient-centered model of care. Donabedian's model linking structure and process to outcome was used to frame this study. The structure variable is the inpatient acute care hospital unit and the process variable consists of the Planetree patient-centered model of care. Outcomes are (1) patient satisfaction, (2) length of stay, (3) readmission, (4) cost per case, and (5) productive nursing hours per patient day. All data for patient satisfaction, length of stay, readmission, cost per case and productive nurse hours per patient day were retrospective, no participant recruitment was needed. Data …

Healthcare Encounters Of Formerly Incarcerated Women: A Grounded Theory Study, Karen Sue Hoyt Phd

Dissertations

The adult correctional population in the United States soared to nearly 7 million people (Bureau of Justice Statistics [BJS], 2005). Over 2 million individuals were housed in prisons or jails in the United States. Nearly 7 percent (6.9%) were women (BJS, 2005). Recent trends in the adult correctional population suggest that there has been a stark increase in the number of formerly incarcerated women in the United States. The purpose of this research was to explore how formerly incarcerated women perceived their healthcare encounters. The aims of this study were to answer the following questions. How did formerly incarcerated women …

Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd

Dissertations

This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …

Development Of An Instrument To Identify The Virtues Of Expert Nursing Practice: ‘Byrd’S Nurses Ethical Sensitivity Test’ (Byrd’S Nest), Lisa Marie Byrd

Dissertations

The purpose of this research was to develop and analyze the psychometric properties of Byrd’s Nurse’s Ethical Sensitivity Test (Byrd’s NEST). An instrument to evaluate nurses’ ethical sensitivity in practice by examining choices of action in ethical dilemmas based on nursing virtues: compassion, fidelity to trust, moral courage, justice, self-confidence, resilience, practical reasoning, and integrity (Benner, Tanner, & Chelsa, 1996; Volbrecht, 2002). Benner’s theory of skill acquisition-novice to expert was the theoretical framework for this research which surveyed for correlations between a nurse’s ethical sensitivity and educational level, years of experience, certification, and work setting. Until now, there have been …

The Total And Specific Dimensions Of Self Concept Related To Female Participation In Collegiate Athletics, Dane Bradford Beary

Dissertations

The purpose of this study was to determine if differences existed between female collegiate sport participation and non-participation, as well as female collegiate individual and team sport participation on the total, the specific dimensions of self-concept and supplementary scores as rendered by the Tennessee Self-Concept Scale Second Edition TSCS:2 (Fitts & Warren, 1996). A subject pool of N=190 participants were used. All subjects included in data analysis were female undergraduate students. A multivariate analysis of variance (M ANOVA) was utilized to evaluate effects of sports participation versus non-participation and individual versus team sports participation on self-concept. On sports participation versus …

Resilience And Quality Of Life In Taiwanese Survivors Of Childhood Cancer, Li-Na Chou Phd, Msn, Rn

Dissertations

Survivors of childhood cancer are at risk to develop physiologic-psychosocial complications that affect their quality of life. This study explored how the independent variables of illness-related risk (ILLRK), individual risks (IRK), protective factors (PF) and resilience (RS) affected the dependent variable---quality of life (QOL)--in Taiwanese survivors of childhood cancer. Triangulated research methodology was employed to (1) identify the statistical relationships between the variables and (2) explore qualitatively what these variables meant to the subjects and how their perceptions further explained the statistical results. Haase's (2004) Adolescent Resilience Model was used as the theoretical framework. Ninety-eight Taiwanese adolescent cancer survivors, diagnosed …

Effects Of Organizational Trust, Pablo Velez Phd, Msn, Rn

Dissertations

This study examined the relationship between levels of organizational trust (OT) and nursing turnover rates, turnover expenditures, patient satisfaction scores, nurse managers' job satisfaction, and nurse managers' perception of fair compensation. An OT inventory and demographic questionnaire were used to collect data from 57 nurse managers working for not-for-profit hospitals in California. Pearson correlations analysis showed that OT was statistically significantly (p = .05) related to overall hospital patient satisfaction scores, nurse managers' job satisfaction, nurse managers' perception of fair compensation, and executives' tenure. OT was not correlated with nursing turnover rates or nursing turnover expenditures. By focusing on developing …

Exercise Self-Efficacy, Stages Of Exercise Change, Health Promotion Behaviors, And Physical Activity In Postmenopausal Hispanic Women, Pamela Wolfe Kohlbry Phd

Dissertations

The purpose of this correlational research is to understand the relationships among the variables of exercise self-efficacy, stages of exercise change, health promotion behaviors, body mass index (BMI), health problems, and the level of physical activity in postmenopausal Hispanic women. The significance of this study is to contribute research that enhances the understanding of the relationship of psychosocial and health promotion correlates and physical activity in postmenopausal Hispanic women. On a national level, this is important because Hispanic women make up one of the fastest growing minority populations and they experience the second highest level of obesity. This research is …

Creativity Fostering Behaviors In The Nurse Educator, Barbara Neher Taylor Phd

Dissertations

The purpose of this descriptive study of 93 BSN nurse educators in the State of California was to examine the relationship between creativity fostering behaviors in the nurse educator and intrinsic motivation, creativity fostering behaviors and the teaching/learning goals, and creativity fostering behaviors and class size, number of years teaching, and university type. This sample included 93 participants, 93% were female, Caucasian (91%), with a mean age of 53 and worked in a public university (65%). Medical/surgical was the most common clinical specialty (26%), with a mean of 29.15 years in nursing practice, and 15 years as a nurse educator. …

Changes In Functional Status Of Home Health Cardiac Patients From Admission To Discharge, Mary Rita Mcgoldrick Phd, Mph, Msn, Rn, Anp-Bc

Dissertations

The purpose of this research is to examine the functional status (ADLs and IADLs) in patients with a primary/secondary diagnosis of cardiac disease in the home health setting. The independent variables of dyspnea and service were examined for the effect on discharge functional status while controlling for the effects of age, gender, race, admission functional status, primary and secondary diagnosis. A descriptive correlational, non-experimental study of cardiac patients in an urban home health agency from January 2003 to December 2004 was conducted using data collected through a retrospective chart review. Seventeen areas of OASIS (ADL and IADL) were assessed for …

Clients' Expectations Of Public Health Nurses' Home Visits, Eva G. Miller Dnsc, Ms, Rn, Phn

Dissertations

Although there is considerable research on the relationship between client expectations and outcomes of care in acute care settings, less is known about clients' expectations for public health nurses' home visits. The aim of this study was to understand clients' expectations of public health nurses' home visits as a first step in making explicit how expectations affect client responses to, and ultimately, outcomes of public health nurses' care. Interviews were conducted with a convenience sample of 19 primary caretakers of high-risk infants admitted to a Neonatal Intensive Care Unit (NICU) and voluntarily enrolled in a High-Risk Infant (HRI) Program in …

Homeless Mothers' Perceptions Of Parenting In Shelters, Sarah E. Young Whitaker Dnsc, Msn, Rn

Dissertations

Descriptions of parenting in a homeless shelter were obtained from nine single mothers housed in one of two shelters in a major southwestern border metroplex. Case study methodology was used to obtain their perspectives on parenting in this unique context. Content analysis was used to organize and analyze emerging themes. Major themes that emerged from the study were (a) a lack of autonomy, (b) gaining access to material resources, (c) lack of privacy, (d) constant change and insecurity in the environment, (e) differing values, and (e) psychosocial support.

Male Arab-Muslims Health And Health Promotion Perceptions And Practices, Abdel-Raheem O. Yosef Phd, Msn, Rn

Dissertations

The Arab Muslim population is one of the dramatically increasing minorities in the United States. In addition to other factors, gender, religion and cultural background influence individuals' beliefs, behaviors, and attitudes to health and illness. Little is known about Arab American male immigrants, how they perceive illness, how they promote their health, and the stressors they experience and barriers they face in accessing the American health care system. The purpose of this study was to develop knowledge about the male Arab-Muslims' health perceptions and health promotion perceptions and practices. This qualitative exploratory study used a grounded theory approach to gain …

Navigating The Rules Of Clinical Practicum Work: An Interpretive Study Of The Experiences Of Associate Degree Nursing Students, Leonie L. Sutherland Phd

Dissertations

Responding to changes in technology, economics, and the demographics of society, nurse leaders incorporate new ideas and systems into clinical practice. Nurse educators are challenged to adopt these ideas and systems and make them part of the nursing curriculum. Educators develop tools and strategies to help students gain knowledge and skills to work with patients in the clinical setting. The ways in which students use these tools and perceive and manage their clinical work is not understood. The dearth of research related to what students actually do in clinical practicum settings provided the backdrop for this study. This is a …

Access To Care: The Experience Of Community-Dwelling Older Adults Receiving Medicare And Medicaid, Mary Ann Simanello Phd, Msn, Rn

Dissertations

Access to care represents a leading health indicator for meeting the complex healthcare and social needs of an exploding population of older adults living in the United States. This qualitative study was undertaken to discover the essence of access to care by community-dwelling older adults with Medicare and Medicaid. Participants were recruited from a metropolitan area in Southern California. Thirteen women and men aged 65 to 91 described their experiences with accessing care during a face-to-face, audio-recorded interview. The study aimed to: describe experiences of access to care, identify facilitators and barriers to care, and describe the effects of facilitators …

Identification Of Seventh-Day Adventist Health Core Convictions : Alignment With Current Healthcare Practice, Randall L. Haffner

Dissertations

Purpose. The prevailing literature suggests that organizations can sustain their vitality and longevity by preserving their core ideology. The purpose of this study is to define and articulate the core convictions of Seventh-day Adventist healthcare and then investigate how the leaders' and employees' cognitive understandings, behaviors, and affective attachments align at Florida Hospital in Orlando, Florida.

Method. This two-phased sequential exploratory study utilizes qualitative research to define the core convictions of Seventh-day Adventist healthcare through historical literature review, analysis of official Church publications, four commissioned scholarly papers, and one-on-one interviews with seasoned healthcare administrators. These findings are then used to …