Medicine and Health Sciences Commons^™

Mid-Atlantic Ethics Committee Newsletter, Winter 1993

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Zeta Phi Chapter Sigma Theta Tau History, Donna M. Curry

Zeta Phi Chapter of Sigma Theta Tau International Honors Society of Nursing

A history of the Zeta Phi Chapter of Sigma Theta Tau at Wright State University. The author provides an overview of the founding, difficulties with becoming a chapter, and activities of the group from 1976-1994.

Sociolinguistic Dimensions Of Nurse Practitioner Practice: A Question Of Power, Merrily J. Allen Dnsc, Mn, Rn

Dissertations

Ethnographic methods were used to examine the sociolinguistic dimensions of female nurse practitioner interactions with female patients. The purpose was to provide a contextual account of the discursive practices used by the nurse practitioners during routine office visits with female patients. Direction for this research was provided by my concern about power inherent in professional-client dyadic relationships. Data collection methods included formal and informal interviews, participant observation and audio taping nurse-patient encounters. Nine nurse practitioners and 26 patients participated in the study in both private and public ambulatory care settings. Data analysis yielded two concurrent story lines which I labeled …

Mid-Atlantic Ethics Committee Newsletter, Fall 1992

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Development Of An Evidence-Based Program To Address Burnout And Resilience In Nursing, Heather Zink

Doctoral Dissertations & Projects

Abstract

Problem: Public health nurses at a county health department are experiencing burnout because of the COVID-19 pandemic.

Purpose: The purpose of this program development project was to address burnout in public health nurses during the COVID-19 pandemic through assessment and recommended resilience interventions.

Methods: Two survey tools to measure burnout and resilience were distributed to 70 public health nurses. A literature review using the Wiederman framework for battling burnout and building resilience guided the development of the resilience toolkit.

Intervention: A resilience toolkit consisting of evidence-based interventions, budgets, assessment tools, an example plan, and posters was developed for the …

Mid-Atlantic Ethics Committee Newsletter, Summer 1992

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Meta-Analysis On Costing Out Nursing Services, Judith G. Eckhart Dnsc

Dissertations

This descriptive meta-analytic study investigated 73 primary studies on costing out nursing services. A critical review of the literature revealed that findings from the various published and unpublished studies were inconsistent and inconclusive. This meta-analysis integrated the literature to identify the relationships between nursing costs and a second variable. The most frequently reported variables among the primary studies were compared using Pearson r correlations and percentages. The variables of total and direct nursing costs were correlated to the variables of length of stay, direct nursing care hours, hospital costs, and diagnostic related grouping (DRG) reimbursements. Analysis was conducted two ways. …

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 …

Mid-Atlantic Ethics Committee Newsletter, Spring 1992

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Being Pregnant And Using Drugs: A Retrospective Phenomenological Inquiry, Merry A. Armstrong Dnsc, Msn

Dissertations

Qualitative methodology was employed to conduct a phenomenological inquiry describing the structure of the experience of being pregnant and using drugs. The purpose of the study was to explore the nature of women's experience and perception of the interaction, relationship, and intersection of contextual phenomena of lifestyle, pregnancy, and substance abuse. Data gathering and analysis was accomplished using guidelines provided by Spiegelberg and Van Manen. Eleven mothers voluntarily participating in a recovery program described their prior experience of being addicted and pregnant during 2 conversations with the researcher. Through transcript analysis of the first audio-taped interview, major and minor themes …

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 …

How Latinas Come To Know About Aids And Aids Prevention, Patricia Walker Caudle Dnsc, Mnsc, Fnp, Rnc

Dissertations

By the year 2000, Latinos will become the largest minority group in the United States. Acquired Immunodeficiency Syndrome (AIDS) is occurring at a disproportionately high rate among Latinos. As care-giver and health decision-maker in the family, the Latina needs to know about AIDS and AIDS prevention. This research identified and offers an explanation of how the Latina comes to know about AIDS and AIDS prevention within the context of the family and the Latino culture. Grounded theory methodology was used to explore the complex socialization patterns within the Latino community that affect how the Latina perceives HIV/AIDS. Data were collected …

Factors Influencing A Battered Woman's Perception Of Controllability In Violent Intimate Relationships, Patricia Ann Chin Dnsc, Msn, Rn

Dissertations

Despite the fact that domestic violence has been the focus of empirical investigation for more than twenty years, little is known about the phenomenon. While the available body of knowledge provides a sketchy picture of the abused woman and her abuser, and helps to dispel many of the myths surrounding spousal abuse, it provides very little insight into the dynamics of wife abuse. This study, based upon a foundation of the Reformulated Learned Helplessness Theory, was designed to explore the nature of the relationships among concepts that have been identified within the context of battering, and that were thought to …

An Analysis Of The Values Influencing Neonatal Nurses' Perceptions And Behaviors In Selected Ethical Dilemmas, Deborah A. Raines

Theses and Dissertations

The purpose of this research was to identify the values influencing the nurse's perception and choice of behavior in a hypothetical clinical situation. The theoretical framework was Rokeach's (1973) Theory on the Nature of Human Values and Value Systems. A descriptive study using a mailed survey was conducted on a random sample of 331 members of the National Association of Neonatal Nurses. Data on individual nurses' values, perception of information and behavioral choices were collected with an investigator developed questionnaire, consisting of a values scale (alpha =.82) and an information scale and choice alternatives related to three hypothetical vignettes: a …

Remote Area Nursing In Western Australia: An Examination Of A Conceptual Model For Practice, Anne Magee

Theses : Honours

The intent of this research was to explore the phenomenon of remote area nursing in relation to a theoretical framework, the SUN Conceptual Model. A Theory-Research-Theory strategy was chosen in order to modify, refine or redevelop the model. Using a descriptive, interpretive design, a sample of eight Remote Area Nurses (RANs) in Western Australia were asked to describe their experiences of remote area nursing. The data were collected by telephone interview. Themes were extrapolated and categorised according to key concepts of the previously developed model. Common components of significant statements were identified in order to gain understanding of the meanings …

A Suffering Odyssey: A Phenomenological-Interpretive Analysis, William M. Scott

College of Graduate Studies: Theses & Dissertations (1964–2006)

The purpose of this study is to explicate how suffering is experienced and interpreted by sufferers. Nursing and medical literature, until quite recently, has been visibly bereft on the topic of human suffering. The subject is made even more confusing because of a lack of a standardized definition: By its very essence, suffering is a relative experience, highly personalized and intimately interpreted. In the past, it has been related to mental anguish, injury, loss, stress, and pain.

Five individuals from contextually different regions of the world were asked to share their suffering stories. Two lived in the southern coastal area …

A Proud Heritage : 100 Years Of Nursing Education, Virginia Commonwealth University

VCU University History Books

In the late 1980s, nursing alumni, faculty, and students began planning for the one hundredth anniversary observance of the founding of the Virginia Commonwealth University School of Nursing. The school traces its rich heritage back to the organization of the Virginia Hospital Training School for Nurses which opened in 1893. Betsy A. Bampton (MCV Class of 1960) undertook the writing of a school history published as the centennial celebration was set to begin. In this abundantly illustrated work, Bampton and her collaborators chronicle the development and growth of the eight diverse schools and programs that formed the foundation of the …

Nurses Alumni Association Bulletin, Fall 1991, Alice C. Boehret, Dorothy A. Cloud, Betty Piersol, Mabel C. Prevost, Margaret Summers, Frances B. Crossan, Adolph Walkling, June Dupnock, Nancy Powell, Doris E. Bowman, Dorothy Ranck Long, Lorraine Mccall, Esther Kahn, Ruth Thorp West, Patricia A. Dunn

Nursing Alumni Bulletins

Annual Meeting Calendar

Annual Luncheon - Meeting Notice

Meeting Notice Dates

Officers and Committee Chairmen

President's Message

Treasurer's Report

Proposed Budget- 1991

News About Our Graduates

History of the School of Nursing

The Future of Nursing

School Health - 20 Years Ago - Today

Happy Birthday

Resume of Minutes of Alumni Association Meetings

Alumni Office News

Committee Reports By-Laws

Bulletin

Nominating

Relief Fund

Satellite

Scholarship

Social

Finance

Nursing Education at Jefferson - "A Century of Excellence"

The Decade Fund

Fiftieth Anniversary

In Memoriam, Names of Deceased Graduates

Luncheon Photos

My Dear Son

Weather Lore

Class News

Scholarship Application

Non-Graduate Scholarship …

Baccalaureate Reentry Students: Effects Of Professional Support On Role Conflict And Role Transition, Ruth N. Grendell Dnsc, Msn, Rn

Dissertations

An increasing number of registered nurses and other health care providers are entering upper division academic nursing programs to obtain the baccalaureate nursing degree. A path analytic model was developed to examine the interrelationships of multiple roles and focal role commitments, previous education, work experience, and role conflicts perceived by reentry adult students, and the influence of professional support in the subsequent transition to the professional role. Group differences between Registered Nurses (RNs) and military corpsmen were also investigated for the variables of importance. A sample of 206 RNs and 37 U.S. Navy corpsmen (from a current population of 96) …

Managing Patient Care: A Substantive Theory Of Clinical Decision Making In Home Health Care Nursing, Felicitas A. Dela Cruz Dnsc, Ma, Rn

Dissertations

This study investigates the phenomenon of clinical decision making, deriving a grounded substantive theory to explain how home health care nurses make patient care decisions. Despite the continuing shift of health care from acute care settings to the patient's home, little is known about home health care nurses' clinical decision making processes and the factors influencing them. The study employs a field research design using grounded theory based on symbolic interactionism. Data collection at two Visiting Nurse Associations includes participant observation and open-ended interviews of 21 nurses, and document analysis of patients' records and home care nursing practice policies. The …

Organized Nursing In The Silver State: A History Of The Nevada Nurses' Association, Ellen Suzanne Fries Dnsc, Mn, Rnc

Dissertations

Membership in a professional organization traditionally has been considered one of the characteristics of a person avowed to practice a profession. The purpose of this study was to conduct an historical analysis of the Nevada Nurses' Association (NNA) to determine the influence of national, state, and local societal issues on the evolution of the organization. Data was collected from the Nevada Historical Society in Reno, the NNA state office, the Special Collections at the University of Nevada, Las Vegas, and the Nursing Archives at Boston University. Articles in professional and lay literature also provided information. Organization theory and congruence with …

Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn

Dissertations

This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …

Factors Related To Self-Care Agency And Self-Care Practices Of Obese Adolescents, Kathy Shadle James Dnsc, Msn, Rn

Dissertations

Identification of factors that influence obese adolescents' health behaviors is necessary if obese adolescents are to benefit from therapeutic interventions. The purpose of this descriptive-correlational study was to identify the relationships between selected basic conditioning factors (BCFs)--perceived health status (PHS), perceived self-efficacy (PSE), family satisfaction (FS), and life events (LE)--and the self-care agency (SCA) and self-care practices (SCP) among obese adolescents. The relative predictive strength of each BCF in relation to the outcome variables was also explored. Orem's self-care theory provided the conceptual framework for this study. The convenience sample of 100 obese adolescents included campers from two southern California …

A Model Of Organizational Commitment In Staff Nurses, Donna Burgener Adams Dnsc

Dissertations

The purpose of this study was to describe and explain the impact of work stress, sex role organization, and organizational tenure on self-esteem and work satisfaction, and ultimately, on the organizational commitment of registered nurses. An eclectic framework was utilized which incorporated organizational and personal variables. The correlational design resulted in a temporally ordered causal recursive model with linkages supported by a literature review. Past research has demonstrated less organizationally committed nurses more prone to leave their positions, and high turnover is detrimental to patient care as well as costly to the health care system. The sample consisted of 143 …

Factors Related To Body Image Appraisal Associated With Receiving Treatment For A Malignant Brain Tumor, Ruth Ann Mulnard Dnsc

Dissertations

Within a stress-coping-adaptation framework, a path analytic model was hypothesized to explain the interrelationships among the variables of gender, age, duration of illness, steroid dosage, social support, perceived health status limitations, and coping skills, and their subsequent effect on body image appraisal in the population of subjects undergoing treatment for a malignant brain tumor. The many potential changes in physical appearance and functional abilities, including the loss of hair, the onset of Cushing's syndrome and varied physical disabilities, may cause devastating alterations in body image, requiring tremendous coping skills for adaptation in these individuals. One hundred and ten subjects were …

The Moral Reasoning Of Nurse Practitioners, Diane C. Viens Dnsc, Ms, Fnp, Rnc

Dissertations

The purpose of this phenomenological study was to identify the moral dilemmas experienced by nurse practitioners in their clinical practice and to describe the essential features of moral reasoning utilized by the nurse practitioners to resolve the moral dilemma. The participants in the study were ten female volunteers who were currently employed as NPs in a variety of settings. Unstructured interviews were conducted with the participants and the qualitative data was analyzed using a nine step process. Five essential features of moral reasoning emerged through the process of data analysis: values, elements in the contextual framework for moral reasoning, influencing …

New Graduates' Self-Perceived Preparedness To Begin Practice As Registered Nurses, Vicci Lodge

Theses : Honours

The purpose of this study was to investigate new nurse graduates' perceptions of their preparedness to begin practice as registered nurses. The investigation included determining whether their perceptions changed over time and in which areas they perceived they were best and least prepared. A longitudinal descriptive survey design was used for this study. Two self-administered questionnaires were used to gather data from all the students (79) who graduated with the Diploma of Health Science from Edith Cowan University at the end of Semester 1 for 1991. Of these, 34 new nurse graduates completed and returned both questionnaires. Both quantitative and …

Nurses' Attitudes To The Nursing Process, Glenda M. Prideaux

Theses : Honours

The nursing process was 'introduced in Australia in the mid 1970s, as a teaching tool, however, with the advent of tertiary based education in the late 1970s, it was used as a problem solving approach to the practice of nursing. Acceptance of the nursing process has required changes' in attitudes and practice. The objectives of the study were firstly, to describe nurses' attitudes to the nursing process, and. secondly, to relate these attitudes to education and experience. The purpose of this study was to describe nurses' attitudes to the nursing process because they are reported to influence the standards or …

Self-Preserving: Patterns Guiding The Experience Of Interpersonal Conflict For Female Nursing Faculty, Kathleen L. Harr Dnsc, Msn, Rn, C

Dissertations

The purpose of this study was to identify a substantive theory to explain and predict interpersonal conflict as it is experienced by nursing faculty. Gaining an understanding of this process may assist faculty and administrators of nursing education programs in dealing with interpersonal conflict in more constructive and helpful ways. It may also provide the basis for further development of formal theory and the potential for theory testing. The grounded theory method described by Glaser and Strauss (1967) and Glaser (1978) guided data collection and analysis. The sample was comprised of 18 full-time nursing faculty members from the field site …

Nursing Care Through The Eyes Of The Patient, Donna May Fosbinder Dnsc, Msn, Rn

Dissertations

Ethnographic methods were used to examine the nurse-patient interaction for the purpose of developing descriptive and explanatory theory of patient satisfaction based on patients' perceptions regarding their nurses' interpersonal skills. A private acute care hospital was the setting for 40 patients and 12 nurses who were study participants. Four processes provided the framework for the themes that emerged: "translating," "getting to know you," "establishing trust," and "going the extra mile." I labeled the action of nurses informing, explaining, instructing, and teaching patients the translation process. Informing and explaining were described by both patients and nurses as very important to the …