Medicine and Health Sciences Commons^™

Cord Blood Collection In Pregnant Women For Stem Cell Research, Irene Carr Phd

Dissertations

Umbilical cord blood (UCB) stem cells form commonly banked types of human tissue. Confusion remains about sources of stem cells and their use. Birth is a once in a lifetime opportunity with 74 million births per year in the world and four million occur in the United States. Cord blood contains hematopoietic stem cells and pluripotent mesenchymal cells (Moise, 2005). There is a surge of interest in the clinical use and research investigation of umbilical cord blood for transplantation and regenerative medicine. Clinicians need increased awareness and education of options for private versus public donation and banking of cord blood …

Predictors Of Elevated Depressive Symptoms In Pregnancy, Justine M. Kokoszka

Honors Scholar Theses

The purpose of this quantitative study was to examine factors that may place women at risk for developing depressive symptoms during pregnancy. It was part of a larger, randomized, double-blinded, placebo-controlled trial investigating the impact of docosahexaenoic acid

(DHA) in pregnancy as it relates to postpartum depression. Participants were women with a confirmed pregnancy(N= 45) who were administered the CES-D at two different times, 20-22 weeks gestation and 30-32 weeks gestation. Factors from a self-report of personal history were included in an analysis with the CES-D scores. A significant positive correlation was found between the first CES-D scores and body …

The Effects Of Climate Change On Public Health And The Healthcare Provider's Role In Addressing Climate Change, Allyson J. Pfeiffer

Senior Honors Projects

“Climate change is a term that refers to major changes in temperature, rainfall, snow, or wind patterns lasting for decades or longer.  Both human-made and natural factors contribute to climate change” (EPA, p. 1, 2011).  Some examples of human-made causes of global warming include burning fossil fuels (e.g., petroleum, coal, diesel), cutting down forests, and developing land for farms, cities, and roads, because these activities all release green house gases into the atmosphere.  Green house gases are gases that trap heat in the atmosphere.  There are some greenhouse gases such as carbon dioxide that occur naturally and are emitted into …

Understanding Autism, Kaileigh J. Sweeney

Senior Honors Projects

Understanding Autism

Kaileigh Sweeney

Faculty Sponsor: Carolyn Hames

Autism spectrum disorders are greatly misunderstood in today’s society.  In the United States, it is estimated that 1 in 110 children are diagnosed with an autism spectrum disorder.  Despite this high prevalence, a great deal of the population is under the impression that a diagnosis of autism is straight forward and indicative of one set of devastating signs and symptoms.  However, the severity of this disorder can range from mild to severe. According to the National Institute of Health, an autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders characterized …

Examining Nursing Presence In The Acute Care Setting As An Indicator Of Patient Satisfaction With Nursing Care, Wendy Hansbrough Phd, Msn, Rn

Dissertations

Nursing presence is conceptualized as occurring within the nurse-patient relationship when the nurse acknowledges the uniqueness of the patient, within his or her context of being and chooses to intervene on the patient's behalf with a patient who allows the nurse into a reciprocal relationship. Nursing presence is described as occurring in varying levels and nurse expertise is suggested as one antecedent. Quantification of nursing presence would be useful in examination of nursing care outcomes, quality management and research. The Presence of Nursing Scale, PONS (Kostovich, 2002) was used in this study to test its reliability and determine its validity …

Emergence Delirium In U.S. Military Combat Veterans, Jason M. Mcguire Phd, Crna

Dissertations

This dissertation study examined the phenomenon of emergence delirium in U.S. military combat veterans. Emergence delirium is a post-anesthetic phenomenon that occurs immediately following emergence from general anesthesia and is characterized by agitation, confusion, and violent physical and/or verbal behavior. Clinical evidence suggests that emergence delirium is occurring with greater frequency among military personnel returning from conflict in the Middle East. This body of work is a culmination of three distinctive phases and is presented in three individual manuscripts. The first manuscript, "Risk Factors for Emergence Delirium in U.S. Military Members," was published in the Journal of PeriAnesthesia Nursing with …

California School Nurse Survey, Rachel Van Niekerk Phd

Dissertations

The purpose of this study was to obtain evidence to support the assumption that school nurses have a positive effect on school attendance and medication administration practices and to hear the voice of the California school nurse. Data from this exploratory, descriptive study came from an online researcher developed survey consisting of both forced choice and open-ended questions completed by California school nurses representing the three major regions of California (Northern, Central, and Southern). The following three research questions guided the study: 1) What is the relationship between school and nurse factors on student outcomes? 2) How valued do California …

Mother-Son Connectedness, Substance Use, And Young Men's Criminal Justice System Involvement, Kim L. Moreno Phd

Dissertations

The relationship between a mother and her son and its influence on health and risk behaviors as a boy becomes a man has had little exploration. The purpose of this study was to examine the relationships between mother-son connectedness, substance use, serious delinquency, violent delinquency, and criminal justice system involvement in young men. This study uses data from The National Longitudinal Study of Adolescent Health (ADD Health), a school-based study of students in grades 7–12 in the United States. Multiple regression, ANOVA, and logistic regression were used to analyze independent and dependent variables. Results show a perception of connectedness, which …

The Post Deployment Lived Experience Of U.S. Military Troops After Combat-Related Blast Exposure, Shirely A. Jett Phd

Dissertations

Blast-induced neurotrauma (BINT) is a newly emerging re-occurrence of an old combat-related injury in U.S. military troops returning from deployment in Afghanistan and Iraq. BINT is leading to a silent epidemic of symptomatic troops who face barriers to accessing healthcare and suffer debilitating symptoms in silence. The purpose of this hermeneutic phenomenological study was to discover the meaning of the lived experience of U.S. troops returning from Afghanistan and Iraq after combat-related blast exposure. Eleven service members and veterans ranging in age from 21 to over 30 years old participated in semi-structured face to face interviews. These service members and …

A Quantitative Inquiry Into Moral Distress And Psychological Empowerment In Critical Care Nurses Caring For Adults During End Of Life, Annette Marie Browning Phd, Rn, Cns

Dissertations

Background Critical care nurses care for many adults at end of life and it is known that these nurses can experience moral distress. Moral distress occurs when nurses are unable to perform what they believe is ethically correct. There has been speculation that psychological empowerment may ameliorate moral distress among critical care nurses. However, research has yet to examine the relationship between moral distress and psychological empowerment in the population of critical care nurses.

Objectives To describe the relationships between moral distress, psychological empowerment and select demographics in critical care nurses caring for patients at EOL.

Method Using a quantitative …

Nutritional Status And Clinical Outcomes Of Residents Admitted To A Nursing Home, Sheryl Nespor Phd

Dissertations

Purpose The purpose of this research study was to describe the nutritional status (well nourished, at risk for malnutrition, or malnourished) of residents admitted to nursing homes and adverse clinical outcomes in those residents after four weeks. Methodology A descriptive, correlational design utilizing medical record data was used to examine the relationship between nutritional status and adverse clinical outcomes of weight loss and pressure ulcers. Results The sample (n=69) was predominately Caucasian (90%) with 38% having one or more pressure ulcers on admission. Most of the residents were admitted from an acute care facility (97%) and were either malnourished or …

Exploring The Sleeping Experiences Of Shiftwork Nurses, Patricia A. Doty

Master's Theses or Doctor of Nursing Practice

Shiftwork scheduling in nursing can lead to diminished health status, quality of life and job dissatisfaction, and it can contribute significantly to decreases in the quality of patient care. In light of the current nursing shortage, and the increasing need for healthcare professionals and services in the coming years, it is imperative that nursing administrators focus on identifying and implementing interventions that counteract the deleterious effects of shiftwork now. This investigation was conducted to explore the sleeping experiences of shiftwork nurses. A convenience sample of 69 (N = 69) licensed nurses working day shift, evenings, nights and rotating shifts at …

Mid-Atlantic Ethics Committee Newsletter, Spring-Summer 2011

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

The College Of Health & Human Services [Annual Report], Wku College Of Health & Human Services, Dr. John Bonaguro, Dean

College of Health & Human Services Publications

No abstract provided.

Fibromyalgia Self-Care Management: Use Of Essential Oils, Regina Ann Sacco Izu Phd

Dissertations

Fibromyalgia is a female dominant chronic syndrome of diffuse muscle pain on palpation of at least 11 of 18 syndrome-associated tender points present for 3 months or longer. There is no cure. Self-care management involving multimodal integrative medicine approaches may increase treatment involvement resulting in a sense of control and pain relief. This embedded, single case study explored 'how' and 'why' an informant with fibromyalgia chose to initiate and continue self-care management using essential oils over several years to treat symptoms within context reality. Orem's Self-Care Deficit Model and the Principles of Integrative Medicine from the University of Arizona formed …

Compassionate Care, The Patient Perspective, Lori Burnell Phd

Dissertations

Professional mandates call for nurses to respond with compassion (e.g., American Nurses Association [ANA] Code of Ethics, International Council of Nurses [ICN]) and countless hospital mission and vision statements prominently display compassion as their fundamental purpose. As a component of healthcare and nursing models, however, defining characteristics and standards are inconsistent. Compassion as a means of establishing a connection on a spiritual level abounds in the literature (Buck, 2006; Grant, 2004; O'Brien, 2008; Schultz et al., 2007) and is documented as a nursing requirement (e.g., ANA, ICN); however, it remains virtually uncharted from the lens of the patient. Through interpretive …

Triage In The Emergency Department: Role Challenges, Satisfaction, And Perceptions Of Staff, Jaclyn Gardner

Undergraduate Theses and Capstone Projects

The goal of this study is to describe staff satisfaction and role challenges among Registered Nurses (RN’s) and Emergency Department technicians in a 43 bed Emergency Department (ED) at a community hospital. This is an exploratory study to determine the factors that create an efficient ED, from staffs perspective, to facilitate improvement for other Emergency Departments. Four RN’s were interviewed, including at least one manager, and ED staff completed a survey to determine role challenges involved in the triage process, perceptions of qualifications needed for triage, and overall satisfaction with the comprehensive triage method used in this setting. Surveys were …

2011-03 Library Impact Statement For Nur 509 Advanced Assessment For Acute Care Np Practice

Library Impact Statements

Library Impact Statementsubmitted in response to new course proposal for NUR 509 Advances Assessment for Acute Care NP Practice. New course was supported with no need for additional resources.

Improving Diabetic Outcomes With Caring Communication: Identifying Communication Patterning For The Human Diabetic, James R. Kennett Phd

Dissertations

Introduction. The purpose of this study was to identify the influence of caring communication for people living with diabetes (PLD) and the relationship to diabetic outcomes. Caring communication has not been studied for improving diabetic outcomes. Randomized control trials (RCTs) direct care, however people do not do what they told, they need to be included in their care. PLD need a voice to establish what is important to them. Incorporating medical, communication, and nursing science as multidisciplinary approach within a theoretical framework can be predictive diabetic outcomes. Methods. A correlational cross sectional survey design study was done. A sample of …

Relationship Between Self-Stigma And Personal Empowerment Among People Who Have Severe Mental Illness, Diane Fischer Hickman Phd

Dissertations

The purpose of this study was to examine the relationship between self-stigma of mental illness and personal empowerment among people who have a severe mental illness. It had been hypothesized that self-stigma of mental illness and personal empowerment are at opposite end of a continuum. As such, individuals who perceive themselves in a stigmatized manner tend to reciprocally perceive themselves as being relatively powerless, rather than having a strong sense of personal empowerment. Likewise, individuals who perceive themselves as having a relatively strong sense of personal empowerment tend to experience a low degree of self-stigma. To test this hypothesis, a …

Spiritual Well-Being And Quality Of Life Among Persons With Paraplegia, Darlene Nelson Finocchiaro Phd, Msn, Rn, Crrn

Dissertations

With the advent of better emergency response and medical advances, the life expectancy of persons with spinal cord injury (SCI) is about 85% to 90% compared to that of non-disabled persons. Since SCI survivors are living well into their 70s, quality of life (QOL) is a major concern. The purpose of this study, informed by Ferrell and Grant's Quality of Life Model, was to examine relationships between spiritual well-being (SWB), existential well-being (EWB), religious spiritual well-being (RWB), depression, length of injury, age, gender, ethnicity, and QOL while living with paraplegia one year and longer. A descriptive, correlational, cross-sectional design, with …

A Retrospective Study Of Substance Use And Mental Health Disorders In A Sample Of Urban American Indian And Alaska Natives, Kathryn Aimee Fuller Phd

Dissertations

This retrospective study examined the prevalence of mental health disorders, co-occurring disorders (COD), and alcohol, tobacco, and other drug use (ATOD) among a sample of urban-dwelling adult American Indian and Alaska Natives (AI/ANs) seeking behavioral health services from one metropolitan Indian clinic in Southwestern United States. A descriptive quantitative design employed retrospective data from AI/AN subjects (N = 123) verified as tribally enrolled and receiving outpatient behavioral health services. Chart abstraction included patient demographics, substance use and mental health diagnoses, and ATOD scores from the Patient Health Questionnaire-9 (PHQ-9) and the Addiction Severity Index-NAV (ASI-NAV). The t-test compared gender differences …

Mid-Atlantic Ethics Committee Newsletter, Winter 2011

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Improving Blood Pressure Control In Esrd Through A Supportive Educative Nursing Intervention, Zorica Kauric-Klein

Wayne State University Dissertations

ABSTRACT

IMPROVING BLOOD PRESSURE CONTROL IN ESRD THROUGH A

SUPPORTIVE EDUCATIVE NURSING INTERVENTION

by

ZORICA KAURIC-KLEIN

May 2011

Advisor: Dr. Nancy T. Artinian

Major: Nursing

Degree: Doctor of Philosophy

Problem: Hypertension in chronic hemodialysis (HD) patients contributes significantly to their morbidity and mortality. Statistics indicate the hypertension rate amongst HD patients ranges from 75 to 100 %. Studies have indicated that adherence rates to self-care behaviors related to salt and fluid intake and medication regimens are very poor in the HD population. Traditional hypertension management strategies have been found to be largely ineffective. There is modest evidence indicating that interventions …

Comparison Of Registered Nurse Job Satisfaction To Patient Satisfaction And The Link To The Role Of The Nurse Manager, Deborah M. Spotts

Theses and Graduate Projects

This is an in depth qualitative research study using a compelling literature review and an in depth case study of one hospital comparing registered nurse job satisfaction scores with patient satisfaction scores. The literature review indicates that research positively correlates nurse job satisfaction to patient care satisfaction. This research study focuses on understanding the possible relationship between registered nurse job satisfaction and patient satisfaction with nursing care. The role of the nurse manager is explored in order to understand possible the impact of that role on the satisfaction scores of both groups.

The Impact Of Gi Inpatient Nursing Rounds On Patient Procedure Cancellations, Barbara Alpini, Rn, Cgrn, Elise Dorr-Dorynek, Rn, Bsn, Crrn, Cgrn

Department of Nursing papers and presentations

Abstract:

Research on rounding among hospital providers demonstrated the fundamental value in the practice.  If rounding is of value in surgical, medical, and other areas, it is logical to hypothesize that structured rounds would be useful for other nursing units, such those performing special procedures.  Structured rounding between GI nurses and colleagues on inpatient units could enhance preparation and efficient care of patients, decrease same day cancellations, and increase RN satisfaction with communication.  Analysis using a Z-test demonstrated some support for a reduction in canceled procedures.  Nurses also reported satisfaction with this new rounding procedure.

Providing Mobile Librarian Service To A College Of Nursing To Increase Interactions And Transactions: One Wayne State University, Science And Technology Librarian's Experience, Nancy A. Wilmes

Library Scholarly Publications

A mobile librarian service to the Wayne State University College of Nursing was developed to provide in-person reference and research support. This service has been successfully used for eight semesters by College of Nursing faculty, graduate students, and some undergraduates for support of research and course work. This article will address the details and provide a description of the service.

Exploring Women's Life Course Experiences With Weight Using Story Theory, Poff Allison Edmonds

Electronic Theses and Dissertations

This qualitative study included women who had gone through the menopausal transition and had experienced obesity, and it focused on their weight histories and experiences across the life course. The goal of this research was to add to the body of knowledge concerning weight gain by applying a novel middle range theory (story theory). Story theory was used to collect and interpret from women’s life course stories the critical themes and patterns of their weight gain. Oral accounts were elicited during personal interviews from a convenience sample of ten women recruited from a weight loss and exercise program in Central …

Factors Associated With Nurses' Recognition Of A Need To Initiate Patients' Capacity Assessment, Gellert Toth

Seton Hall University Dissertations and Theses (ETDs)

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Patient Adherence To Oral Oncolytics, Holly Sansoucie

Walden Dissertations and Doctoral Studies

Oral oncolytics continue to come to market at an unprecedented pace. Traditionally, chemotherapy was delivered in the controlled environment of the infusion suite; however, with the increasing use of oral oncolytics, the burden of administration and monitoring has shifted to the patients and/or their caregiver. This paradigm shift, from intravenous chemotherapy to oral chemotherapy, has created new challenges in cancer care. Despite the seriousness of their diagnosis, oncology patients are not always adherent to these requirements. Oncology nurses have always taken the lead in patient education, yet that lead has mostly been in the context of intravenous chemotherapy. There is …