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Articles 1 - 12 of 12
Full-Text Articles in Medicine and Health Sciences
Factors Influencing Critical Care Nurses To Speak Up When Patients Are At Risk For Harm: Development Of An Instrument, Deborah Ruth Crumpler
Factors Influencing Critical Care Nurses To Speak Up When Patients Are At Risk For Harm: Development Of An Instrument, Deborah Ruth Crumpler
Nursing Theses and Dissertations
Nurses intervene in situations where patients may be at risk for harm, particularly in critical care units where risk due to severity of illness and complexity of treatment is higher. Although safety improvements have been made, nurses still report barriers to speaking-up. Improvement in skilled communication and true collaboration among health care professionals begins with assessment of the problem. Attitudes and beliefs that influence speaking-up behaviors among critical care nurses have not been well-documented. This research study utilized a mixed-method design framed by the Theory of Planned Behavior to explore factors associated with intention to speak up among critical care …
Disaster Preparedness Education And Resource Needs For Pregnant And Post-Partum Families, Ellen A. Erickson Bonner
Disaster Preparedness Education And Resource Needs For Pregnant And Post-Partum Families, Ellen A. Erickson Bonner
Nursing Theses and Dissertations
Hurricane Katrina in 2005 heightened awareness of the need to educate vulnerable populations on disaster preparedness. However, little has been written specifically on the preparedness needs of the pregnant and post-partum families. Only one article explores disaster preparedness education for this population. To fill this gap. An interprofessional sample (n=115) rated the relevance of the educational topics and birthing kit items proposed by the panel from the previous Delphi study. The education topics were reduced to four themes that explained 66.80% of the variance and the birthing kit items were reduced to six themes that explained 70.99% of the variance.
Technostress Effects On Technology Acceptance By Nurse Faculty, Joseph W. Tacy
Technostress Effects On Technology Acceptance By Nurse Faculty, Joseph W. Tacy
Nursing Theses and Dissertations
Technology is an essential tool used in nursing academia. The rapid changes in technology and required adaptations can result in technostress, but little research exists about technostress among nurse educators. Gaps in this area of research generated several questions regarding the adaption to technology among nurse faculty and the impact technology has on stress, system use, job satisfaction, and intent to stay in the profession. This dissertation explored technostress and its influence on technology use, acceptance, job satisfaction, and intention to stay within the profession. Included are two manuscripts. The first is a concept analysis of technostress. The second manuscript …
Defining "Independent Practice" For Nurse Practitioners In The State Of Texas: Envisioning A Workable Model, Hines Ann Tracy
Defining "Independent Practice" For Nurse Practitioners In The State Of Texas: Envisioning A Workable Model, Hines Ann Tracy
Nursing Theses and Dissertations
Health care reform, an aging population, and a decreasing primary care physician workforce has resulted in questioning of primary health care delivery in the United States. Nurse practitioners are being viewed as the possible answer to primary health care provider deficiencies. This advanced practice role, initially developed in the 1960s, has been shown to be an effective, cost efficient alternative to the medical model of health care delivery. Nurse practitioners' licensure and practice are regulated by each individual state resulting in state-to-state variances in the role. This inconsistency leads to further questions regarding the nurse practitioner role and practice independence. …
Cultural Competence Among Nursing Faculty, Colleen Marzilli
Cultural Competence Among Nursing Faculty, Colleen Marzilli
Nursing Theses and Dissertations
Research of culture and cultural competence in nursing faculty is vitally important when considering the state of the United States health care system and health disparities that can be reduced through culturally competent care. Recent studies address cultural competence among nurses, but there is limited information exploring cultural competence in nursing faculty. A concept analysis of "cultural competence" using Rodger's method further established the need to examine cultural competence from the perspective of nursing faculty, who are responsible for educating future nurses in culturally competent care. The purposes of this study were to determine the level of cultural competence in …
Nurses' Self-Efficacy For Managing Elder Abuse, Alana Anderson
Nurses' Self-Efficacy For Managing Elder Abuse, Alana Anderson
Nursing Theses and Dissertations
Elder abuse is a serious issue that negatively affects physical and mental health in a significant portion of the older population. Abuse of older adults is not adequately detected or reported. Nurses have frequent contact with older victims of abuse, providing them the opportunity to play a significant role in detecting, reporting, and intervening in such cases. Nurses are reluctant to intervene due to lack of education on elder abuse and lack of self-efficacy in their ability to properly manage elder abuse. This quantitative, descriptive study was designed to determine whether educational content on elder abuse, perceived capability, and self-efficacy …
Illness Beliefs And Adherence Among Louisiana Adults With Type 2 Diabetes, Denise L. Stagg
Illness Beliefs And Adherence Among Louisiana Adults With Type 2 Diabetes, Denise L. Stagg
Nursing Theses and Dissertations
Type 2 diabetes mellitus (T2DM) is having an enormous impact on the health of the nation. New cases of diabetes are diagnosed yearly across all states. Currently, 9.3% of the population has diabetes (Centers for Disease Control and Prevention {CDC}, 2014). While the prevalence of this disease is nationwide, it is not evenly distributed. Louisiana currently has a rate of 11.5%, with some parishes having rates of 14.5% (CDC, 2014). This rate places increased demands on healthcare and financial systems in Louisiana. Cultural elements and population distribution may be parts of this phenomenon. While many studies explored new medications and …
Job Embeddedness: The Differences Between Registered Nurses And Health Care Assistants, Zelda Gibbs
Job Embeddedness: The Differences Between Registered Nurses And Health Care Assistants, Zelda Gibbs
Nursing Theses and Dissertations
Job embeddedness (JE) directly affects job retention and quality of service. Financial challenges for hospitals demand strategies to ensure superior patient satisfaction scores. Knowledge regarding JE of HCAs is lacking, and studies about the differences between JE of RNs and HCAs in acute care facilities could not be located. Job descriptions for HCAs in acute care facilities are extremely diverse, and RNs feel reluctant to assign responsibilities to HCAs. Job retention, job satisfaction, commitment, and professional relationships can potentially suffer as a result. RNs valued community sacrifices significantly higher than HCAs. Total JE scores between baby boomers and millennials were …
Live Model Simulation: Improving Nursing Students' Attitudes And Knowledge Of Alzheimer's Disease, Teresa Maharaj
Live Model Simulation: Improving Nursing Students' Attitudes And Knowledge Of Alzheimer's Disease, Teresa Maharaj
Nursing Theses and Dissertations
Our country's older adult population (those 65 and older) continues to grow at unprecedented rates yet few nurses are prepared to safely and competently care for them with their challenging needs, especially those with Alzheimer's Disease and Related Dementias (ADRD). Research focused on teaching strategies that influenced students' preconceived attitudes and improved knowledge toward older adults with or without Alzheimer's disease (AD) is limited. This study examined whether a live-model simulation used as a teaching modality could improve student attitudes and knowledge of AD. Findings indicated that within the group of students who participated in the AD lecture and AD …
Social Support To Reduce Uncertainty In Childhood Cancer In South Texas: A Case Study, Martha Danielle Gunter
Social Support To Reduce Uncertainty In Childhood Cancer In South Texas: A Case Study, Martha Danielle Gunter
Nursing Theses and Dissertations
Parents of children with cancer are faced with the complicated situation of not only learning their child is critically ill, but also of learning how to adapt to life with childhood cancer. For parents of a child with cancer uncertainty can lead to increased levels of stress, anxiety, fear, loss of control and depression. Successful psychosocial and educational interventions in reducing uncertainty in adult populations have been reported. However, these have not been well documented in families dealing with childhood cancer. Discovering how to best provide these interventions in south Texas will provide a foundation for future research interventions in …
Development Of Clinical Judgement For Hispanic And Non-Hispanic Nursing Students: A Comparison Of Traditional And Simulated Clinical Experiences, Eve Marie Rodriguez
Development Of Clinical Judgement For Hispanic And Non-Hispanic Nursing Students: A Comparison Of Traditional And Simulated Clinical Experiences, Eve Marie Rodriguez
Nursing Theses and Dissertations
A mixed method design evaluating for differences in students development of clinical judgment based on clinical experiences. Traditional, combination, and high fidelity simulation clinical experiences were compared. Weekly evaluations based on the Lasater Clinical Judgment Rubric were compared. Students participated in focus interviews at the completion of the study to determine perceptions of the clinical experience in terms of clinical judgment development. There were no differences based on qualitative and quantitative measures. Students in all three groups increased in clinical judgment scores and reported satisfaction in the individual clinical experience.
Child Sex Trafficking-Recognition, Intervention, And Referral: An Educational Framework To Guide Health Care Provider Practice, Cathy L. Miller
Child Sex Trafficking-Recognition, Intervention, And Referral: An Educational Framework To Guide Health Care Provider Practice, Cathy L. Miller
Nursing Theses and Dissertations
Awareness of the plight of children and adolescents who are sexually exploited and trafficked for financial gain has gradually garnered the attention of the public, law enforcement, and health care providers. The discussion is slowly changing to recognize these exploited children and adolescents as victims and not criminals. Marginalization of this population is slowly changing to advocacy. However, with awareness comes responsibility for the health care system to provide improved recognition, intervention, and referral of this population. Increased health care provider responsibility demands a scientifically based framework to guide the development of health care provider education programs. To date, there …