Parents' Gender Ideology And Gendered Behavior As Predictors Of Children's Gender-Role Attitudes: A Longitudinal Exploration, Hillary Paul Halpern

Masters Theses

This longitudinal study examined the association between parents’ early and concurrent gender ideology and gendered behaviors and their children’s gender-role attitudes at age six. Specifically, parents' global beliefs about women's and men's "rightful" roles in society, as well as their work preferences for mothers, were considered in relation to the gender-role attitudes held by their first-graders. In addition, parents’ gendered behaviors, including their division of household and childcare tasks, division of paid work hours, and job traditionality were examined as predictors of children’s gender-role attitudes. Based on previous research, it was hypothesized parents’ early and concurrent behavior and ideology would …

Relational Coordination: The Perception And Experiences Of Student Nurses And Nursing Faculty In A Hospital Setting, Clare Lamontagne

Doctoral Dissertations

The purpose of this study was to describe and measure student nurses’ and nursing faculty experiences and perceptions of relational coordination during their most recent clinical experience in a hospital setting. The complexity of healthcare settings in the United States necessitates a coordinated approach to patient care in order to meet the divergent needs of its citizens. Healthcare students and professionals need to be prepared to work collaboratively and communicate proficiently and effectively. The theory of relational coordination states that, in a well-functioning organization, members of the healthcare team engage in frequent, timely, accurate, and problem-solving communication and have high …

A Preliminary Model Of Dignity Management In Hospice, Qiaohong Guo

Doctoral Dissertations

This study aims to develop a preliminary model of dignity management (MDM) in hospice describing the social process used by the interdisciplinary team to support the dignity of the patient-family unit in hospice. A qualitative, grounded theory methodology was used to achieve this goal. Research samples, including dying patients, their families and hospice staff, were recruited from a residential hospice in North Amherst, Massachusetts. Data collection methods included interview, observation, and document review. Symbolic interactionism and pragmatism provided the philosophical basis for this study. Thematic analysis was used to explore the definitions of dignity; and grounded theory analytic techniques for …

Needs Of Patient’S Families In The Hospital Tele-Intensive Care Unit, Mary L. Jahrsdoerfer

Doctoral Dissertations

Purpose: To explore, identify and describe the perceptions of family members of a patient admitted to a telemedicine intensive care unit (tele-ICU); and to determine if these needs differ from those established by the Critical Care Family Needs Inventory (CCFNI) in the traditional ICU setting. Background: The tele-ICU is a new care modality in which offsite nurses provide consultation to bedside clinical staff at geographically-dispersed ICUs. The last decade demonstrates a growing existence of tele-ICU’s in our healthcare culture. ’Information’, ‘close proximity’, ‘assurance’, ‘support’ and ‘comfort’ have been identified as the top five needs of family members in the traditional …

Adverse Childhood Experiences Effect On Young Adults Chronic Stress Response, Karen Kalamkis, Jerrold Meyer

Rudd Adoption Research Program Annual Conferences

No abstract provided.

Privacy Issues With The Electronic Medical Record, Pamela Aselton, Sandra Affenito

Elaine Marieb College of Nursing Faculty Publication Series

Electronic medical records (EMR) all have privacy safeguards in place. Major healthcare institutions have taken steps to prevent employees from looking up information on patients whom they do not treat directly, however numerous potential intrusions into patient privacy are still possible. Centralization of medical records in the increasing number of multi-group practices distributes personal medical data over larger networks and increases the likelihood that personal medical data may be shared or viewed by unauthorized users. This article reviews the benefits of EMRs and the possible mechanisms by which data may be shared without patient knowledge, as well as solutions and …

Preventing Dysfunctional Behaviors Of Those With Dementia Based On The Progressively Lowered Stress Threshold Model, Mary Chrabaszcz

Doctor of Nursing Practice (DNP) Projects

Abstract

Dementia is a disease that impacts millions of people worldwide. Amongst the complications of this disease are behaviors that affect not only the individual with dementia but also their caregivers. These behaviors can be challenging especially for formal caregivers and it is important that they are taught how to prevent them. Long-term care facilities are the perfect settings for this type of education. For this reason, an educational program, including a needs assessment, PowerPoint presentation, and on-site support, was brought to a locked, assisted-living unit of Jewish Geriatric Services in Longmeadow, Massachusetts. The educational program was inspired and supported …

Evaluation Of A Continued Safe Patient And Handling Program, Mary K. Daily

Doctor of Nursing Practice (DNP) Projects

Nursing staff have a high risk of on the job injury from patient handling and movement. Safe Patient Handling and Movement programs help reduce injury through education and training to employees. Programs need to be evaluated regularly to determine if the goals are being met. When a program is not meeting its projected goals, modifications are needed to improve the program and its outcomes. The purpose of this project was to evaluate a continued safe patient handling program. The goals were to provide best evidence from research. Use best evidence to enhance the program. Promote positive behaviors from employees. Reduce …

Improving Discharge Planning And Education Of Nursing Students: A Collaborative Approach, Lea Dodge

Doctor of Nursing Practice (DNP) Projects

Nurses require training to provide discharge teaching yet nursing students are often not assigned the task of discharge teaching and are overwhelmed by the task once they enter the workforce (London, 2004). Few nursing programs provide opportunities for nursing students to participate in quality improvement projects. In an attempt to decrease post-discharge adverse events (AE) and increase exposure to discharge teaching and quality improvement by nursing students, 13 nursing students in a baccalaureate undergraduate nursing program assigned to a DEU in a sub-acute rehabilitation facility were provided with instruction utilizing the evidenced-based teach-back method. The nursing students conducted the discharge …

Improving Nurses’ Pain Management In The Post Anesthesia Care Unit (Pacu), Amelia D. Madenski

Doctor of Nursing Practice (DNP) Projects

Pain after surgery is distressing to patients and is a significant problem in post anesthesia care unit (PACU). Ineffective pain management in the immediate postoperative period can prolong the patient’s length of stay in the PACU which may lead to increased cost of care. The nurses’ lack of knowledge regarding pain management and ineffective team communication are barriers to effective pain management. An educational intervention based on the Knowledge- to-Action Model was implemented to 22 nurses in the recovery room at an urban hospital. A one group pre-test and post-test measure design was used to evaluate educational program. The data …

Improving The Transition Of Care From The Hospital To Primary Care Providers For Patients With Heart Failure, John Blake

Doctor of Nursing Practice (DNP) Projects

The goal of this quality improvement project was to enhance the transition of care from the hospital to primary care providers for patients with heart failure at one acute care hospital in Tampa, Florida. A literature review revealed that discharge summaries have a pivotal communication role in the transition of care. Consequently, the electronically recorded discharge summaries relating to a random sample of 60 patients discharged from this hospital were audited for a trial period of six months (three months before and three months after an intervention by the DNP candidate to encourage the attending physicians to improve the transition …

Copd Dyspnea Palliation Project: Dyspnea Palliation In End-Stage Copd Patients, Kaveri M. Roy

Doctor of Nursing Practice (DNP) Projects

Chronic Pulmonary Obstructive Disease (COPD) is a chronic and incurable disease that affects over 12 million Americans. The number of people with COPD is rising, and it is the third leading cause of death in the United States. Management and palliation of COPD symptoms has become a public health issue. The capstone project, the COPD Palliation Project, was a pilot study that combined nursing case management and patient education to provide optimal patient dyspnea palliation and self-efficacy of dyspnea management to end-stage COPD hospice patients. For the intervention, end-stage COPD patients were taught to use a dyspnea algorithm to palliate …

Non-Pharmacological Management Of The Behavioral And Psychological Symptoms Of Dementia, Chito O. Uyanwune

Doctor of Nursing Practice (DNP) Projects

The focus of this change in practice implementation project is to emphasize and encourage the use of non-pharmacological interventions as the first line intervention in managing the Behavioral and Psychological Symptoms of Dementia (BPSD) among nursing home residents. A sample of nurses (N = 14) and nursing assistants (N = 11) working in two local nursing homes participated in an educational intervention about dementia care. Two hundred and one charts were reviewed of the residents of both homes for antipsychotic use. Regardless that one home seems very organized, is using less antipsychotic than the other home compared to their bigger …

Eat Well, Live Actively: A Primary Care Interventional Program For The Treatment Of Childhood Obesity, Julianne M. Randlemon

Doctor of Nursing Practice (DNP) Projects

Over the last thirty years, childhood obesity has become one of the presiding diseases in the pediatric population. Last year the CDC (2012) reported that 12.5 million children under the age of five were not only overweight but also obese. This growing trend has been inadequately addressed by the United States preventive healthcare system. The pandemic has continued to spread: America’s obese children have substantially contributed to the ever-growing fiscal demands of health care in the United States. Olshansky et al. (2005) suggest this will in turn translate into the first generation of American adults that will be sicker and …

Evaluation Of Radiation Exposure From Computed Tomography Of The Head, Nelly Vega-Woo

Doctor of Nursing Practice (DNP) Projects

In an effort to reduce radiation exposure from computed tomography (CT), practitioners and facilities need to monitor radiation exposure while delivering high-quality diagnostic exams. Computed tomography scanners have a range of pre-programmed protocols for different examination types, with set values for tube potential, tube current, and rotation time (American Association of Physicists in Medicine, 2007). One way to minimize a patient’s exposure to radiation from CT is the use of an automatic exposure control (AEC) device. Current research is focusing on these devices and their actual benefits to patients. To assess the effectiveness of such a device, analysis of radiation …

Perceived Family Support And Depression Among People Living With Hiv/Aids In The Kathmandu Valley, Nepal, Sadhana Shrestha, Krishna Poudel, Kalpana Poudel-Tandukar, Jun Kobayashi, Basu Dev Pandey, Junko Yasuoka, Keiko Otsuka, Masamine Jimba

Elaine Marieb College of Nursing Faculty Publication Series

Background: Depression is emerging as a highly prevalent psychiatric condition among people living with HIV/AIDS (PLWHA). Perceived family support (PFS) buffers depression among chronic disease patients. However, a similar relationship among PLWHA is unexplored. Objective: To examine the relationship between PFS and depression among PLWHA in the Kathmandu Valley, Nepal. Methods: In this cross-sectional study, depression was measured by Beck Depression Inventory Ia. Perceived family support was measured by Nepali Family Support and Difficulties Scale. The status of depression was compared between 208 PLWHA and 208 HIV-negative participants. The relationship between PFS and depression was examined only among PLWHA. Results: …