Medicine and Health Sciences Commons^™

Examining Generational Differences Across Organizational Factors That Relate To Turnover, Kimberly Asuncion

All Graduate Theses, Dissertations, and Other Capstone Projects

Turnover continues to pose a problem for all organizations across industries. This study examines the complex nature of turnover, by examining the relationship of turnover intentions with perceptions of distributive justice, procedural justice, growth opportunities, and recognition across age groups. Age groups will be used as a proxy for generational cohort membership. Results of the study confirm previous research that generational differences do exist; however, those differences are fairly small. Perceptions of distributive justice, procedural justice, growth opportunities, and recognition were found to be significant predictors of turnover intentions regardless of the age group.

The Relationship And Effects Of Mindfulness On Comfort, Work Satisfaction, And Burnout Among Nurses Who Provide Direct Patient Care, Pamela Lichtenberg Heard

Dissertations

This study proposed to examine the problem of burnout in the nursing profession and ways to ameliorate burnout. Many burnout studies in the past focused on the problem and possible solutions that managers and/or hospital administrators could incorporate into their organization. The focus of this study is to evaluate ways that nurses can decrease their own propensity to burnout through the use of mindfulness. Therefore, this study examined burnout in a non-traditional manner. It is not assumed that others must assist nurses with decreasing their levels of burnout. Mindfulness is a means by which nurses can empower themselves to combat …

Biofeedback Assisted Relaxation Training Program To Decrease Test Anxiety In Nursing Students, Catherine Andrea Prato

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nursing programs have been cited as being among the most stressful undergraduate programs. Students' knowledge and skills are consistently tested and monitored, and students may fail a course or be dropped from their nursing program if scores are not above a certain standard. Anxiety reactions are common to situations perceived as threatening; however, excessive anxiety may paralyze an individual and interfere with effective learning, functioning, and testing. Numerous studies have found increased anxiety causes physiological changes including increased respirations and heart rate, and decreased peripheral skin temperature. The purpose of this study was two fold. First test anxiety was measured …

Effects Of Support On The Initiation And Duration Of Breastfeeding, Sara L. Gill, Elizabeth Reifsnider, Joseph F. Lucke

Joseph Lucke

Researchers attempted to increase the initiation of breastfeeding and its duration to 6 months among a group of low-income, Hispanic women through an intervention program which included prenatal education and home based postpartum support. All participants were telephoned after delivery to determine infant feeding method. Duration of breastfeeding was determined by counting the number of days from initiation to the last day the baby was put to the breast. The Bayesian approach was used for the statistical analyses. In the intervention group, the propensity to initiate breastfeeding exceeded that of the control group. Results indicate the intervention group had twice …

Predicting Breast-Feeding Attrition: Adapting The Breast-Feeding Attrition Prediction Tool, Elizabeth Reifsnider, Sarah L. Gill, Joseph F. Lucke, Angela R. Mann

Joseph Lucke

CONTEXT: Current breast-feeding rates fall short of the recommendations set forth in Health People 2010. The Breast-feeding Attrition Prediction Tool (BAPT), administered in the postpartum period, has been useful in predicting breast-feeding attrition. However, assessing a woman's intention to breast-feed prior to birth would identify women at risk for breast-feeding attrition.

PURPOSE: The purpose of this study was to describe a revised BAPT, administered antepartally that measures intention to breast-feed.

METHODS: The BAPT, comprising 94 items on a 6-point Likert-type scale, was translated into Spanish and back-translated for accuracy. The BAPT was then revised by reducing the number of items …

Fall Prevention Programs For The Elderly: A Bayesian Secondary Meta-Analysis, Joseph F. Lucke

Joseph Lucke

A secondary meta-analysis of programs to reduce falls in the elderly is undertaken to demonstrate a Bayesian analysis. The Bayesian statistical tradition is carefully distinguished from the standard Neyman-Pearson-Wald (NPW) statistical tradition. In the 12 studies, the logit effect size is used to compare treatment groups using a prevention program to control groups without a program. To contrast the Bayesian analysis, independent-effects and fixed-effect meta-analyses are first conducted in the NPW tradition. This is followed by Bayesian independent-effects and fixed-effect meta-analyses that numerically replicate the NPW results but have conceptually different interpretations. The final analyses comprise Bayesian random-effects and predictive …

Benchmarking Patient Outcomes, Ellen B. Rudy, Joseph F. Lucke, Gayle R. Whitman, Lynda J. Davidson

Joseph Lucke

Purpose: To examine the usefulness of three types of benchmarking for interpreting patient outcome data.

Design: This study was part of a multiyear, multihospital longitudinal survey of 10 patient outcomes. The patient outcome used for this methodologic presentation was central line infections (CLI). The sample included eight hospitals in an integrated healthcare system, with a range in size from 144 to 861 beds. The unit of analysis for CLI was the number of line days, with the CLI rate defined as the number of infections per 1,000 patient-line days per month.

Methods: Data on each outcome were collected at the …

Occupational Stress Among Nurse Administrators In General Hospitals In Tennessee, Ruby T. Davis

Electronic Theses and Dissertations

The purpose of this study was to determine the level of occupational stress among nurse administrators and to identify the types of strategies used by nurse administrators to deal with or manage occupational stress. The study examined the relationship between selected demographic variables, occupational stress, and strategies. The research design included five research questions along with seven null hypotheses testing the relationship between occupational stress and demographic variables--age, gender, marital status, years of professional nursing experience, years as a nurse administrator, educational attainment, and hospital bed capacity. There were seven additional hypotheses testing the relationship between the same demographic variables …

The Impact Of An Employee Involvement Program On Service Quality In A Nursing Home Organization, Diane Catanzaro

Psychology Theses & Dissertations

The purpose of this research was to investigate the effects of an intervention involving employee participation in decision making and behavior modeling training on quality of service. Subjects were nursing aides in two similar nursing home facilities operated by a medium-sized long-term care organization. Participation in decision making involved weekly meetings using a quality-circle-type problem-solving process to develop suggestions for improving quality of service to residents and their families. Behavior modeling training was used to teach interpersonal skills necessary for handling a customer complaint. Service quality was assessed through family, resident, and supervisor ratings of nursing aide service behaviors. The …

Types Of Behavior During Labor And Delivery And Scores On The Minnesota Multiphasic Personality Inventory, Bette Gloria Winthers

University of the Pacific Theses and Dissertations

Purpose of the Study

The thesis of this study is that personality characteristics can be shown as factors in the variation of behavior which occurs during labor and childbirth. It is felt that if personality traits can be measured by a standard device they will correlate with various types of behavior expressed during labor. The Minnesota Multiphasic Personality Inventory is one instrument which tests all of the more important phases of personality. This test was chosen as the device to be used in this study to determine the personality traits of the women involved. Therefore, the purpose of this study …