Medicine and Health Sciences Commons^™

Use Of Secure Messaging By United States Veterans And Significant Others, Claudia S. Derman

Theses and Dissertations

ABSTRACT

USE OF SECURE MESSAGING BY UNITED STATES VETERANS AND SIGNIFICANT OTHERS

By

Claudia S. Derman

The University of Wisconsin-Milwaukee, 2014

Under the Supervision of Professor Karen H. Morin, PhD, RN, ANEF, FAAN

The purpose of this study was to describe the topics discussed using secure messaging (SM), the pattern of use of SM, and whether the themes discussed and/or the pattern of use varied based on gender and age of the SM user. Secure messaging is an example of a technology that focuses on patient-centered communication. Secure messaging allows patients to communicate with their clinicians using the Internet and …

Exploring The Phenomenon Of Presence In An Online Educational Environment Through The Lived Experiences Of Graduate Nursing Faculty, John G. Rosselli

Theses and Dissertations

In this dissertation, the phenomenon of presence in an online educational environment is explored through the lived experiences of graduate nursing faculty who teach online.

Greater understanding of the phenomenon of presence in online educational environments may lead to better learner-instructor relationships, higher levels of inquiry and critical thinking on the part of faculty and students, and ultimately better student outcomes. Utilizing principles of Hermeneutic Phenomenology and deductive inquiry, and based on the learner-centric Being There for the Online Learner Model, the author conducted in-depth interviews with a purposive sample of 13 graduate nursing faculty members who teach online at …

Use Of Photobiomodulation In Osteoclast Formation: Possible Intervention For The Treatment Of Osteoporosis, Lisa Lauren Anderson-Antle

Theses and Dissertations

After critically examining the literature to gain a robust understanding for the pathogenesis of bone loss, specifically osteoporosis, the development of a possible new intervention to prevent or treat osteoporosis was explored. The purpose of this dissertation was to pilot test a new protocol designed to answer the broad research question: Does Near-Infrared Light Emitting Diode (NIR-LED) treatment affect Receptor Activator of Nuclear Factor Kappa-B Ligand (RANKL) induced osteoclastogenesis in a cell culture model?

Osteoporosis is defined as a disease characterized by low bone mass and structural deterioration of bone tissue, leading to bone fragility and an increased susceptibility to …

Factors Associated With Parent Depressive Symptoms And Family Quality Of Life In Families With And Without Adolescents And Young Adults With Spina Bifida, Monique M. Ridosh

Theses and Dissertations

The purpose of this study was to explore which context and process factors contribute to parent depressive symptoms (PDS) and family quality of life (FQOL) in families with adolescents/young adults (AYA) with and without spina bifida (SB). Secondary analysis was conducted on data (N = 209) from a multi-site cross-sectional study of adaptation in AYA with SB. Measures included: Behavior Rating Inventory of Executive Function (Behavioral Regulation Index and Metacognition Index), FACES III (Cohesion subscale), Family APGAR, Family Inventory of Resources for Management (Family Mastery and Health subscale), a single-item measure of stress, Beck Depression Inventory (BDI-II) and The FQOL …

The Affective Domain In Nursing Education: Educators' Perspectives, Linda Darlene Taylor

Theses and Dissertations

Affective learning in nursing education continues to be important in the development of professional values. Affective learning is defined as a type of learning that reaches the emotional and belief system of those who facilitate and participate in it and establishes attitudes and professional values. There is limited exploration of affective learning in nursing education. How educators are facilitating learning in this domain is important to future nursing education practice as it transforms to meet new societal and health care demands. The purpose of this study was to explore the meaning, experience and the act of teaching in the affective …

Treatment Decision Making In African American Women Diagnosed With Advanced Breast Cancer, Dauphne Annette Sims

Theses and Dissertations

ABSTRACT

TREATMENT DECISION MAKING IN AFRICAN AMERICAN WOMEN DIAGNOSED WITH ADVANCED BREAST CANCER

by

Dauphne Annette Sims

When diagnosed with breast cancer African American women have more advanced stage breast disease and encounter disparities throughout the cancer care continuum. The process of making treatment decisions can widen or narrow disparities in health outcomes. The decision making process in African American women may be influenced by several dynamics that influence how treatment decisions are made and have been previously unexplained. Guided by the conceptual framework of Cultural Capital, this grounded theory study explored the treatment decision making process of 12 African …

What Inez Knows: A Qualitative, Longitudinal Case Study Of One Woman's Journey Through The Maze Of Living With Hiv And A Serious Mental Illness, Linda Austin

Theses and Dissertations

WHAT INEZ KNOWS: A QUALITATIVE, LONGITUDINAL CASE STUDY OF ONE WOMAN'S JOURNEY THROUGH THE MAZE OF LIVING WITH HIV AND A SERIOUS MENTAL ILLNESS

by

Linda Austin

The University of Wisconsin-Milwaukee, 2014

Under the Supervision of Professor Patricia E. Stevens

Although more than thirty years have passed since AIDS was first diagnosed in the U. S., the HIV/AIDS epidemic continues and the prevalence and incidence statistics remain alarming. Twenty-five percent of the people living with HIV in the United States are women, but only half of these women are in care and even fewer women (42%) have viral suppression. Women …

The Subjective Well-Being Of Youth Heads Of Households In Rural Southern Malawi, Pamela Fruechting

Theses and Dissertations

Youth-headed households in HIV-endemic sub-Saharan Africa face harsh realities of poverty and loss of parental care. Scientific knowledge of these youth is generally limited to socio-economic and psychological indicators of vulnerability while much less is known about youth-centric meanings of well-being. This is the first known study on the subjective well-being of youth heads of households.

The purpose of this exploratory, youth-centric, qualitative study was to identify experiences of subjective well-being, factors for regulating well-being, and meanings of well-being among youth heads of household in the Thyolo and Chiradzulu districts of rural southern Malawi. The theoretical foundation for this study …

The Influence Of Maternal Contexts On Infant Outcomes, Secondary Analysis Of Wpcr Data 2000-2010, Mary Roseanne Butler

Theses and Dissertations

Congenital heart defects (CHD) are the most prevalent birth defect in the world and occur in approximately 6-8 of every 1,000 live births (Hoffman & Kaplan, 2002). CHD continues to be one of the leading causes of infant morbidity and mortality today. Five to ten percent of all cases of CHD can be attributed to a chromosomal abnormality, 3%-5% are linked to single gene defects, and approximately 2% are a result of known environmental factors (Clark, 2001). With only 10%-15% of the causes of CHD are understood, the remaining 85%-90% of all CHD cases, the etiologies remain unknown. The purpose …

Strategic Flexibility In Not-For-Profit Acute Care Hospitals, Donna Fe Jamieson

Theses and Dissertations

ABSTRACT

STRATEGIC FLEXIBILITY IN NOT-FOR-PROFIT ACUTE CARE HOSPITALS

by

Donna F. M. Jamieson

Despite multiple industry cycles of rapid and complex changes in the last three decades, the body of research in health care services strategy has not addressed the idea of strategic flexibility, that is, when and how should strategy evolve under conditions of environmental turbulence. Strategic flexibility has been defined in the literature as the ability to adapt to rapidly changing conditions by leveraging internal resources and competencies to effectively compete. With increasing scope of responsibility in both nursing and non-nursing functional areas, nurse executives have not only …

Testing Components Of A Self-Management Theory In Adolescents With Type 1 Diabetes Mellitus, Gwen Marie Verchota

Theses and Dissertations

Advances in treatment technology and the importance of obtaining normoglycemia in order to prevent or delay complications associated with Type 1 Diabetes Mellitus (T1DM) has shifted much of the emphasis of diabetes self-management (SM) onto the adolescent and his or her family. The primary responsibility for managing T1DM in childhood is with the parent whereas during adolescence, increasing levels of responsibility for SM are transferred to the adolescent. This study examined the relationships of key context and process variables on proximal (self-management behaviors [SMB]) and distal outcomes (metabolic control and diabetes-specific health-related quality of life [DQOL]) from the Individual and …

Women's Experiences Living With Depression, Susan Marie Jarchow

Theses and Dissertations

In the United States, depression affects many Americans at different levels. Depression among women is a major public health problem. According to the National Alliance on Mental Illness), about 1 in 5 women develop depression at some point in their lives, and are nearly twice as likely as men to have depression. Much of the research about depression in women are quantitative studies aimed mostly at collecting epidemiological or survey data that focus on rates of mental illness, while not taking into account the qualitative subjective and contextual illness perspectives of women living with depression.

The purpose of this study …

Continuous Positive Airway Pressure Use And Mild Obstructive Sleep Apnea Syndrome (Osas), Michelle L. Nelson

Theses and Dissertations

ABSTRACT

CONTINUOUS POSITIVE AIRWAY PRESSURE USE AND MILD OBSTRUCTIVE SLEEP APNEA SYNDROME (OSAS)

by

Michelle L. Nelson

The University of Wisconsin-Milwaukee, 2014

Under the Supervision of Jennifer Doering, PhD, RN

Obstructive sleep apnea syndrome (OSAS) is an increasingly recognized sleep disorder that affects an estimated ten percent of middle-aged women and 25 percent of middle-aged men. Continuous positive airway pressure (CPAP) is the standard treatment for individuals with moderate to severe OSAS. However, it is estimated that 80 percent of individuals with OSAS have a milder form of the disease. The use of CPAP therapy in persons with mild OSAS …

Collegiality, The Nursing Practice Environment, And Missed Nursing Care, Katherine Irene Menard

Theses and Dissertations

The practice environment of nurses has received attention in recent time related to a heightened awareness of the need for improved patient safety and an anticipated return of a nursing shortage. Existing literature has identified the presence and negative outcomes of unhealthy peer relationships among nurses, however; positive peer relationships (collegial) have received little attention in nursing research. This descriptive correlational study used data obtained through online survey methodology to describe the current state of collegiality among staff nurses working in the hospital setting and the relationship collegiality has to the nursing practice environment and missed nursing care.

Collegiality levels …