Medicine and Health Sciences Commons^™

Football Betting And The Efficient Market Hypothesis, Ravija Badarinathi, Ladd Kochman

Ladd Kochman

Three betting rules which had been nonrandomly profitable in both their initial application to the 1969-74 National Football League seasons and their replication during the years of 1975-81 were applied to all NFL games played between September 1984 and January 1994. One rule proved to be nonrandom and profitable for a third consecutive trial--a feat suggesting that bettors may be able to "beat the bookie" and, more broadly, that prices in competitive markets may not discount all available information in swift fashion.

Immersion Research Education: Students As Catalysts For International Collaboration Research, Kathryn H. Anderson, Marie-Luise Friedemann, Andreas Buescher, Julita Sansoni, Donna R. Hodnicki

Kathryn H. Anderson

Background:  This paper describes an international nursing and health research immersion program. Minority students from the USA work with an international faculty mentor in teams conducting collaborative research. The Minority Health International Research Training (MHIRT) program students become catalysts in the conduct of cross-cultural research. Aim:  To narrow the healthcare gap for disadvantaged families in the USA and partner countries. Methods:  Faculty from the USA, Germany, Italy, Colombia, England, Austria and Thailand formed an international research and education team to explore and compare family health issues, disparities in chronic illness care, social inequities and healthcare solutions. USA students in the …

Transition Of Premature Infants From Hospital To Home Life, Greta L. Lopez, Kathryn H. Anderson, Johanna Feutchinger

Kathryn H. Anderson

Purpose: To conduct an integrative literature review to studies that focus on the transition of premature infants from neonatal intensive care unit (NICU) to home. Method: A literature search was performed in Cumulative Index to Nursing and Allied Health Literature (CIN AHL), PubMed, and MEDLINE to identify studies consisting on the transition of premature infants from hospital to home life. Results: The search yielded seven articles that emphasized the need for home visits, child and family assessment methods, methods of keeping contact with health care providers, educational and support groups, and described the nurse's role in the transition program. The …

Alzheimer’S Care At Home: A Focus On Caregivers’ Strain, G. Valera, L. M. Varona, Kathryn H. Anderson, J Sansoni

Kathryn H. Anderson

The aging population is increasing worldwide. According to Italian authors, Italy is one of the leading and increasing aging populations in the world. Placing more numbers on the elderly increases the number of people who will live with dementia in the future and in our case of study, in an increase of people with Alzheimer's disease. Researchers have demonstrated that Alzheimer's disease comes with aging and it eventually affects the person's cognitive, emotional, and physical well being. Those who become diagnosed with Alzheimer's will eventually need assistance in their daily living, especially when it begins to progress to a higher …

Authors' And Editors' Perspectives On Peer Review Quality In Three Scholarly Nursing Journals, M.M. Shattell, P. Chinn, Sandra Thomas, W.R. Cowling

Faculty Publications and Other Works -- Nursing

This study examined the quality of peer review in three scholarly nursing journals from the perspectives of authors and editors. Specifically, the study examined the extent to which manuscript reviews provided constructive guidance for authors to further develop their work for publication, and for editors to make informed and sound decisions on the disposition of manuscripts.

Lived Experience Of Diabetes Among Older, Rural People, S.R. George, Sandra Thomas

Faculty Publications and Other Works -- Nursing

This paper is a report of a study conducted to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area.

Lived Experience Of Diabetes Among Older, Rural People, S.R. George, Sandra Thomas

Sandra Thomas

This paper is a report of a study conducted to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area.

Authors' And Editors' Perspectives On Peer Review Quality In Three Scholarly Nursing Journals, M.M. Shattell, P. Chinn, Sandra Thomas, W.R. Cowling

Sandra Thomas

This study examined the quality of peer review in three scholarly nursing journals from the perspectives of authors and editors. Specifically, the study examined the extent to which manuscript reviews provided constructive guidance for authors to further develop their work for publication, and for editors to make informed and sound decisions on the disposition of manuscripts.

Junior Nursing Students' Experiences Of Vertical Violence During Clinical Rotations, Sandra Thomas, R. Burk

Faculty Publications and Other Works -- Nursing

Horizontal violence is a form of workplace violence, a phenomenon that is prevalent in the nursing profession. Research has revealed a variety of negative peer-to-peer behaviors that lower morale and lead to turnover. However, little research has been conducted on “eating our young” (violence occurring between individuals with unequal power, such as staff nurse and student). We propose “vertical violence” as the appropriate term when abusive registered nurse (RN) behavior is directed towards students. We report a content analysis of stories written by junior nursing students about incidents of injustice perpetrated by staff RNs during their clinical experiences. Four levels …

Mental Health Patients' Experiences Of Being Misunderstood, L.M. Gaillard, M.M. Shattell, Sandra Thomas

Faculty Publications and Other Works -- Nursing

Mental health patients describe “being understood” as an experience that evokes feelings of importance, worthiness, and empowerment. However, the experience of “being misunderstood” is more prevalent in patients’ relationships with health care providers. Negative consequences such as vulnerability, dehumanization, and frustration reveal that being misunderstood has the potential to damage or destroy therapeutic relationships.

Junior Nursing Students' Experiences Of Vertical Violence During Clinical Rotations, Sandra Thomas, R. Burk

Sandra Thomas

Horizontal violence is a form of workplace violence, a phenomenon that is prevalent in the nursing profession. Research has revealed a variety of negative peer-to-peer behaviors that lower morale and lead to turnover. However, little research has been conducted on “eating our young” (violence occurring between individuals with unequal power, such as staff nurse and student). We propose “vertical violence” as the appropriate term when abusive registered nurse (RN) behavior is directed towards students. We report a content analysis of stories written by junior nursing students about incidents of injustice perpetrated by staff RNs during their clinical experiences. Four levels …

Mental Health Patients' Experiences Of Being Misunderstood, L.M. Gaillard, M.M. Shattell, Sandra Thomas

Sandra Thomas

Mental health patients describe “being understood” as an experience that evokes feelings of importance, worthiness, and empowerment. However, the experience of “being misunderstood” is more prevalent in patients’ relationships with health care providers. Negative consequences such as vulnerability, dehumanization, and frustration reveal that being misunderstood has the potential to damage or destroy therapeutic relationships.

How Patients And Nurses Experience The Acute Care Psychiatric Environment, M.M. Shattell, M. Andes, Sandra Thomas

Faculty Publications and Other Works -- Nursing

The concept of the therapeutic milieu was developed when patients’ hospitalizations were long, medications were few, and oneto- one nurse–patient interactions were the norm. However, it is not clear how the notion of ‘therapeutic milieu’ is experienced in American acute psychiatric environments today. This phenomenological study explored the experience of patients and nurses in an acute care psychiatric unit in the USA, by asking them, ‘What stands out to you about this psychiatric hospital environment?’ Three figural themes emerged, contextualized by time, which was a source of stress to both groups: for patients there was boredom, and for nurses, pressure …

Life Trajectories Of Female Child Abuse Survivors Thriving In Adulthood, Sandra Thomas, J.M. Hall

Faculty Publications and Other Works -- Nursing

A narrative study of thriving adult female survivors of childhood maltreatment was undertaken to discover how they had achieved success. Life trajectory patterns, turning points, and setbacks were identified. Data consisted of 81 interview transcripts derived from a series of three interviews, spaced over 6 to 12 months, with 27 survivors. The childhood abuse was intrafamilial, beginning as early as infancy and continuing, in most cases, until participants left home. The onset and pace of the healing trajectory were quite variable, including a roller-coaster pattern as well as patterns of slow, steady progress and continued struggle. Four types of redemption …

Life Trajectories Of Female Child Abuse Survivors Thriving In Adulthood, Sandra Thomas, J.M. Hall

Sandra Thomas

A narrative study of thriving adult female survivors of childhood maltreatment was undertaken to discover how they had achieved success. Life trajectory patterns, turning points, and setbacks were identified. Data consisted of 81 interview transcripts derived from a series of three interviews, spaced over 6 to 12 months, with 27 survivors. The childhood abuse was intrafamilial, beginning as early as infancy and continuing, in most cases, until participants left home. The onset and pace of the healing trajectory were quite variable, including a roller-coaster pattern as well as patterns of slow, steady progress and continued struggle. Four types of redemption …

How Patients And Nurses Experience The Acute Care Psychiatric Environment, M.M. Shattell, M. Andes, Sandra Thomas

Sandra Thomas

The concept of the therapeutic milieu was developed when patients’ hospitalizations were long, medications were few, and oneto- one nurse–patient interactions were the norm. However, it is not clear how the notion of ‘therapeutic milieu’ is experienced in American acute psychiatric environments today. This phenomenological study explored the experience of patients and nurses in an acute care psychiatric unit in the USA, by asking them, ‘What stands out to you about this psychiatric hospital environment?’ Three figural themes emerged, contextualized by time, which was a source of stress to both groups: for patients there was boredom, and for nurses, pressure …

"Take My Hand, Help Me Out:" Mental Health Recipients' Experience Of The Therapeutic Relationship, M.M. Shattell, S.S. Starr, Sandra Thomas

Faculty Publications and Other Works -- Nursing

The purpose of this study was to describe mental health service recipients' experience of the therapeutic relationship. The research question was ‘what is therapeutic about the therapeutic relationship?’ This study was a secondary analysis of qualitative interviews conducted with persons with mental illness as part of a study of the experience of being understood. This secondary analysis used data from 20 interviews with community-dwelling adults with mental illness, who were asked to talk about the experience of being understood by a health-care provider. Data were analysed using an existential phenomenological approach. Individuals experienced therapeutic relationships against a backdrop of challenges, …

Violence On Campus: Practical Recommendations For Legal Educators, H. Smith, Sandra Thomas, C.M. Parker

Faculty Publications and Other Works -- Nursing

Recent rampage killings compel greater attention to anger and violence on the college campus. In each of these tragic mass murders, vengeful individuals sought to address perceived grievances against faculty and/or other employees of the university. In each of these situations, numerous clues of impending violence were evident. Sadly, however, in each of these cases the schools failed to take preventive actions. While prediction of violent behavior will never be an exact science, universities must begin to enact violence prevention strategies. Maintaining an attitude that 'this couldn't happen here' hampers the necessary education of faculty, staff, and security personnel.

Our …

"Take My Hand, Help Me Out:" Mental Health Recipients' Experience Of The Therapeutic Relationship, M.M. Shattell, S.S. Starr, Sandra Thomas

Sandra Thomas

The purpose of this study was to describe mental health service recipients' experience of the therapeutic relationship. The research question was ‘what is therapeutic about the therapeutic relationship?’ This study was a secondary analysis of qualitative interviews conducted with persons with mental illness as part of a study of the experience of being understood. This secondary analysis used data from 20 interviews with community-dwelling adults with mental illness, who were asked to talk about the experience of being understood by a health-care provider. Data were analysed using an existential phenomenological approach. Individuals experienced therapeutic relationships against a backdrop of challenges, …

Understanding The Meaning Of Urban Spaces And Places To Women: Impact On Health And Well-Being, Sandra Thomas

Sandra Thomas

No abstract provided.

Violence On Campus: Practical Recommendations For Legal Educators, H. Smith, Sandra Thomas, C.M. Parker

Sandra Thomas

Recent rampage killings compel greater attention to anger and violence on the college campus. In each of these tragic mass murders, vengeful individuals sought to address perceived grievances against faculty and/or other employees of the university. In each of these situations, numerous clues of impending violence were evident. Sadly, however, in each of these cases the schools failed to take preventive actions. While prediction of violent behavior will never be an exact science, universities must begin to enact violence prevention strategies. Maintaining an attitude that 'this couldn't happen here' hampers the necessary education of faculty, staff, and security personnel.

Our …

Inflammatory And Immune System Correlates Of Rape, M.W. Groer, Sandra Thomas, G.W. Evans, S. Helton

Faculty Publications and Other Works -- Nursing

The purpose of this study was to evaluate the feasibility of measuring stress hormones and immunity following rape. The long-term goal is to evaluate the predictive value of stress-immune-inflammatory responses to later health outcomes. Fifteen women reporting rape were compared with 16 control participants. Serum stress hormones, proinflammatory cytokines, acute phase proteins, functional assays, and lymphocyte subsets were measured in blood samples. Women reporting rape had higher cytotoxic cells, lower B lymphocyte counts, higher proinflammatory biomarkers, and decreased lymphocyte proliferation compared to the control group. This finding suggests that rape produces activation of the innate immunity and suppression of some …

Nurses' Narratives Of Unforgettable Patient Care Events, M.E. Gunther, Sandra Thomas

Faculty Publications and Other Works -- Nursing

Purpose: To explore the experience of registered nurses (RNs) caring for patients in contemporary hospitals. Design: The descriptive phenomenological study was based in the philosophical perspectives of Husserl and Merleau-Ponty. Methods: A purposive sample of 46 RNs employed in acute care hospitals in the southeastern United States (US) were recruited by network sampling. Data from unstructured interviews were analyzed in an interpretive group and themes were identified. Findings: Four themes were identified: (a) extraordinary caregiving events, (b) incomprehensibility, (c) questioning whether anything else could have been done, and (d) “alone or together,” indicating the isolation nurses often experience while giving …

Talking It Over With The Gals: An Analysis Of Editorials By Phyllis Stern, Sandra Thomas

Faculty Publications and Other Works -- Nursing

Editorials written by a journal editor proved a glimpse of that individual's philosophy and opinions about topical events. The purpose of the present project was to analyze the editorials of Phyllis Noerager Stern during the years that she served as editor-in-chief of Health Care for Women International (1983-2001). Using ethnographic content analysis, 65 editorials were examined to ascertain: (1) what event triggered the editorial; (2) what aim or objective could be identified; and (3) what rhetorical devices the editor employed. Personal narratives and editorials about the abuse/exploitation of women made up the largest categories. Stern's grounded theory orientation, fascination with …

Inflammatory And Immune System Correlates Of Rape, M.W. Groer, Sandra Thomas, G.W. Evans, S. Helton

Sandra Thomas

The purpose of this study was to evaluate the feasibility of measuring stress hormones and immunity following rape. The long-term goal is to evaluate the predictive value of stress-immune-inflammatory responses to later health outcomes. Fifteen women reporting rape were compared with 16 control participants. Serum stress hormones, proinflammatory cytokines, acute phase proteins, functional assays, and lymphocyte subsets were measured in blood samples. Women reporting rape had higher cytotoxic cells, lower B lymphocyte counts, higher proinflammatory biomarkers, and decreased lymphocyte proliferation compared to the control group. This finding suggests that rape produces activation of the innate immunity and suppression of some …

Talking It Over With The Gals: An Analysis Of Editorials By Phyllis Stern, Sandra Thomas

Sandra Thomas

Editorials written by a journal editor proved a glimpse of that individual's philosophy and opinions about topical events. The purpose of the present project was to analyze the editorials of Phyllis Noerager Stern during the years that she served as editor-in-chief of Health Care for Women International (1983-2001). Using ethnographic content analysis, 65 editorials were examined to ascertain: (1) what event triggered the editorial; (2) what aim or objective could be identified; and (3) what rhetorical devices the editor employed. Personal narratives and editorials about the abuse/exploitation of women made up the largest categories. Stern's grounded theory orientation, fascination with …

Nurses' Narratives Of Unforgettable Patient Care Events, M.E. Gunther, Sandra Thomas

Sandra Thomas

Purpose: To explore the experience of registered nurses (RNs) caring for patients in contemporary hospitals.

Design: The descriptive phenomenological study was based in the philosophical perspectives of Husserl and Merleau-Ponty.

Methods: A purposive sample of 46 RNs employed in acute care hospitals in the southeastern United States (US) were recruited by network sampling. Data from unstructured interviews were analyzed in an interpretive group and themes were identified.

Findings: Four themes were identified: (a) extraordinary caregiving events, (b) incomprehensibility, (c) questioning whether anything else could have been done, and (d) “alone or together,” indicating the isolation nurses often experience while giving …

An Exploration Of Problematic Interviewee Behaviors In Qualitative Research, M. Collins, M. Shattell, Sandra Thomas

Faculty Publications and Other Works -- Nursing

The interview is a staple of many qualitative approaches. Although textbooks offer extensive guidance to researchers about conducting interviews, less guidance is available about problematic interviewee behaviors, such as flattery or statements indicative of social desirability response bias. In this study, a secondary analysis of 22 phenomenological interview transcripts, we sought to examine problematic interviewee behaviors. More than 300 pages of typed text were subjected to line-by-line scrutiny, yielding only six potential instances of the phenomenon. Each could be interpreted several ways. What appeared to be flattery could also be perceived as simple gratitude or appreciation. We concluded that problematic …

Women's Anger, Agression, And Violence, Sandra Thomas

Faculty Publications and Other Works -- Nursing

Themes of powerlessness, power, and paradox predominate in this reflection on more than 15 years of research on women's anger. Studies conducted in the United States, France, and Turkey are highlighted. These studies have negated several myths while illuminating the general rationality of women's anger: It is squarely grounded in interpersonal interactions in which people deny women power or resources, treat them unjustly, or behave irresponsibly toward them. The offenders are not strangers; rather they are their closest intimates. But few women learned healthy anger expression while growing up. Anger is a confusing and distressing emotion for women, intermingled with …

Through The Lens Of Merleau-Ponty:Advancing The Phenomenological Approach To Nursing Research, Sandra Thomas

Sandra Thomas

No abstract provided.