Medicine and Health Sciences Commons^™

'Night Duty' : A Study Of Nurses' Attitudes Toward Night Duty, With Implications For Hospital And Nursing Management, Beth Louise Brown

Theses : Honours

Research specifically related to the needs and attitudes of nurses to night duty is in its infancy. Nurses have previously been included in studies related to circadian rhythms, and job satisfaction but only recently have complex aspects of the adaptation to working at night in health care institutions been given consideration. Shift work in general, has been identified as a stressful, occupational health hazard. Nurses cannot be compared to other shift workers. Chronobiological research now confirms that many individuals are unable to adapt to night work. This is in contrast to the historical management view which held the opinion that …

Occupational And Life Stress In Nursing: Is There A Relationship?, Christopher Billam

Theses : Honours

A population of two hundred and twenty nurses involved in direct patient care in a regional hospital were surveyed to assess if a relationship exists between occupational and life stress. A cross sectional survey design was used. The questionnaire contained four distinct categories: demographic information, Nurses' Stress Scale, a Life Events Inventory and a social support scale. A return rate of 49.5% was obtained, and several completed questionnaires were rejected, leaving the data from 1.04 questionnaires to be analysed. The nurses in this population reported low scores tor both occupational and life stress. However, the instrument used to calculate the …

Administration Of Post-Operative Analgesia, Liora J. Valinsky

Theses : Honours

Pain is one of the major problems encountered by patients who have undergone surgery. The relief of pain is an important part of their treatment, and is both a nursing and a medical responsibility. Analgesics, both narcotic and non-narcotic, are usually prescribed by doctors on a pro re nata, or ‘as needed' basis. The responsibility for administration lies with the nurses, and they choose the type and quantity of drug to be given. Research into the area of pain relief has shown that both nurses and doctors need further education in the judicious use of analgesics, particularly narcotics. This study …

The Effect Of An In-Service Lecture On Diabetes On Nurses' Attitudes To Diabetes Patient Education, Jennifer A. Walters

Theses : Honours

Patient education has been shown to be a major factor in improving the compliance and self-care skills of diabetic patients, thereby improving the quality of life for the patient. Nurses have an important role in diabetes patient education. Research has indicated, however, that barriers such as lack of knowledge and negative attitudes may prevent nurses from effectively delivering this care to their patients. The purpose of this experimental study was to determine whether increasing the knowledge of registered nurses through an in-service lecture on diabetes would improve their attitudes towards diabetes education. The conceptual framework for the study proposed that …

Cognitive Learning Outcomes In A Cardiac Nursing Course: A Pilot Study, Amanda J. Whittle

Theses : Honours

This study measured the cognitive learning outcomes of registered nurses who completed a short cardiac nursing course. This course was held in a metropolitan teaching hospital during four weeks in September, 1989. The author grouped the twenty participants into one of two groups according to prior acute cardiac nursing experience; (1) those who had less than six months post-basic cardiac nursing experience; and (2) those who had six months or more post-basic cardiac nursing experience. A pre-course test and post-course test was given to the participants to measure the dependent variable, that is, cognitive knowledge. Using as case-comparative design, the …

Human-Environment Process: Replication And Refinement Of A Study Of Rogers' Principle Of Integrality, Virginia Susan Meggitt

Theses : Honours

The purpose of this study was to test Rogers' principle of integrality by asking: Does a varied harmonic auditory environment increase the perceived restfulness of patients, who are hospitalised in order to heal following surgery? This study modified a previous study (Smith, 1986) which showed that varied harmonic sound had a more positive effect on the perceived restfulness of healthy subjects than did quiet ambience. This experimental study tested 22 post-operative inpatients, using a non-equivalent control group design with pretest and posttest. Varied harmonic sound was provided by audiotaped sequences of music and narrative; quiet ambience was achieved by maintaining …

ผลกระทบของโทลูอินต่อสุขภาพ, สุนทร ศุภพงษ์

Chulalongkorn Medical Journal

No abstract provided.

โครงการขั้นทดลอง : การค้นหาผู้ป่วย โรค เบาหวานโดยเด็กนักเรียน, องอาจ วิพุธศิริ, ทัสสนี นุชประยูร, มุนี เศรษฐบุตร, บุษบา มาตระภูล

Chulalongkorn Medical Journal

No abstract provided.

Value Of Diagnostic Laparoscopy, Kobchitt Limpaphayom, Wirach Wisawasukmongchol, Dumrong Rienprayoon

Chulalongkorn Medical Journal

No abstract provided.

ทารกแรกเกิดจากมารดาติดเฮโรอีนและมีแอนติบอดี้ต่อ เชื้อไวรัสเอดส์ : รายงานผู้ป่วย 3 ราย, เสาวนีย์ จำเดิมเผด็จศึก, ส่าหรี จิตตินันทน์, ศศิธร ลิขิตนุกูล, ประพันธ์ ภานุภาค, พิมลรัตน์ ไทยธรรมยานนท์, อุษา ทิสยากร, สุภาสินี กังวาลเนาวรัตน์

Chulalongkorn Medical Journal

No abstract provided.

ภาวะการอักเสบรอบตับ ร่วมกับการอักเสบติดเชื้อ ในอุ้งเชิงกราน (ฟิท-ฮิวจ์-เคอร์ติส ซินโดรม): รายงานผู้ป่วย 1 ราย และทบทวนวารสาร, สมชาย ทั้งไพศาล

Chulalongkorn Medical Journal

No abstract provided.

กลุ่มอาการที่เกิดจากท๊อกซินของเชื้อสแต๊ฟฟิลโลคอคคัส, อุษา ทิสยากร, สิริมา รัตนวัย

Chulalongkorn Medical Journal

No abstract provided.

Perceptions Of Registered Nurses Toward Two Patient Classification Systems, Sarah J. Follen

Masters Theses

Patient classification systems provide a means of delineating nursing activities that a patient requires. The majority of patient classification systems consist primarily of delegated services or functional tasks. Two other areas of nursing care, independent and interdependent services, are not a part of most workload measurement systems.; Two patient classification systems were developed for this study. One was designed using primarily delegated services, and the second designed according to the Clinical Practice Model of Nursing (Wesorick, 1988) and consisted of independent, interdependent, and delegated services. The researcher studied how registered nurses perceived each instrument: how acceptable was each instrument to …

Facilitating The Nursing Process For The Nursing Diagnosis "Alteration In Thought Processes", Meridell Veen

Masters Theses

The purpose of this study was to determine if nurses who were given a tool to facilitate assessment of thought processes would collect more assessment data, diagnose "alteration in thought processes" more frequently, and include a care plan for this diagnosis more often. A quasi-experimental pre-treatment/post-treatment design was used. An inservice program about the Level of Cognitive Function Scale (LOCF) was the treatment.; Of the 40 randomly selected subjects from the 199 adult critical care nurses at a metropolitan hospital, 20 completed the study with pre-treatment and post-treatment data. Data were collected by scoring patient assessment/care plans pre-treatment and 4 …

Aging Society: Conflict And Struggle Toward The Establishment Of The Meaningful Life For All Generations, Yasukatsu Kudo

Theses

Winter of our life-- A smell of leaves is fallen. The chill finds its way in the dry wind. Leaves little room for a coy disguise. Reflection of our life, Underneath the crammed seams, Is vivid and no-lies. Only a blind man, sitting on the corner, Busy smoothing his gray beard, Can recall his dreams . A song of geese is beaten on the ground. When the ice engraves our wrinkles, Our memories are flatten And worn out.

Statistically, the past few decades showed the rising living standards of the elderly. Social Security benefits have increased almost 50 percent in …

The Reduction Of Stress As Perceived By The Alzheimer Patient Caregivers Through The Use Of Support Groups, Linda Blewer Swindle

Theses

This thesis explores how support groups can reduce perceived stress among caregivers of individuals with Alzheimer’s disease. Linda Blewer Swindle, a registered nurse, provides a comprehensive look at both the emotional and practical challenges faced by those providing care, particularly as the disease progresses through its stages. The work begins with a clinical overview of Alzheimer’s, differentiating it from normal aging and emphasizing the disease’s slow, irreversible, and deeply disruptive nature.

Swindle then examines the concept of stress, highlighting both physiological and psychological dimensions, and describes Rational Emotive Therapy (RET) as a tool to help caregivers reframe negative thought patterns. …

A Specialty Orthopedic Skilled Unit, Vivian K. Landes

Theses

Unavailable.

Women's Resource Centers, Nora Ann Boland

Theses

This study was done to determine if the women of St. Charles County know about the concept of Women's Resource Centers and their preferences as to the types of services they would use.

The survey was conducted in the St. Charles area. The sample consisted primarily of women. The participants were from varied age groups, income levels and educational backgrounds. There were 350 surveys distributed. Two hundred surveys were used for the results.

There were two survey groups; health care workers and the public sector, and results were compared with each other. This comparison was to determine if there was …

Case Report Of Human Infection With Capillaria Philippinensis, Ching-Yu Chen, Wei-Chuan Hsieh, Tsang-Lie Chen

Harold W. Manter Laboratory of Parasitology: Library Materials

In July 1988, a case of human infection with Capillaria philippinensis, so-called the intestinal capillariasis, was discovered at the National Taiwan University Hospital (NTUH). This is the first case reported in Taiwan.

Capillaria philippinesis is a parasite of fish-eating birds In nature it has a fish-bird life cycle. When human populations disrupt the natural cycle by eating raw fish infected with the larvae of C. philippinensis, they may acquire the disease.

The Politics Of Aids: Compulsory State Powers, Public Health, And Civil Liberties, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

This article argues that compulsory public powers are justified only if they meet the following criteria: there is a significant risk of transmission of the acquired immune deficiency syndrome (AIDS) virus; the public health response is efficacious in preventing a primary mode of transmission of the virus; the economic, practical, or human rights burdens are not disproportionate to the public health benefits; and the public health power is the least restrictive alternative that would prevent viral transmission.

The author carefully examines the levels of risk posed by behavior which can potentially transmit human immunodeficiency virus (HIV), and demonstrates that compulsory …

Hospitals, Health Care Professionals, And Aids: The "Right To Know" The Health Status Of Professionals And Patients, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

This article addresses why patients and health care professionals (HCPs) with human immunodeficiency virus (HIV) should have autonomy and privacy rights to choose whether to consent to an HIV test and to disclose their serologic status. It also demonstrates that the risk of HIV transmission in health care settings is exceedingly low, that it is probably lower than other well-accepted risks taken by patients and professionals, and that there are other less intrusive ways to further reduce the risk. The article concludes that knowledge of a patient's serologic status is unlikely to reduce risk, since no effective action could be …

Neonatal Screening For Congenital Hypothyroidism In Pakistan, Murntaz Lakhani, Mohammad Khurshid, Shehla H. Naqvi, Mohammad Akber

Department of Paediatrics and Child Health

Congenital hypothyroidism is a preventable cause of mental retardation. Since clinical signs of congenital hypothyroidism do not generally become obvious before three months of age, screening programmes have been introduced in North America and Europe, which consist of T4 or TSH screening on newborn infants on the third day of life. The screening for congenital hypothyroidism was initiated in Pakistan by the Aga Khan University Hospital (AKUH) in March 1987. By April 1988, 5000 neonates were screened and five cases of congenital hypothyroidism were diagnosed. The study revealed the incidence of hypothyroidism to be one case per 1000 newborns which …

Tumor Necrosis Factor And The Pathophysiology Of Septic Shock, Mae J. Ciancio

Dissertations

No abstract provided.

Assessing Socially Skilled Behaviour For Vocational Tenure In Adults With Developmental Disability, Paula M. Daoust

Theses and Dissertations (Comprehensive)

Socially skilled behaviour is a critical factor in an individual's ability to secure and maintain employment. Due to the very nature of their handicap, persons with mental retardation often exhibit social skills deficits, thus restricting access to competitive employment and the status of full membership in society that such employment facilitates. Previous attempts to train socially skilled behaviour in persons with mental retardation have been hampered by the lack of a valid assessment tool to evaluate program effectiveness and inform program content. The purpose of this paper was to develop such an instrument by extending work done by Lagreca, Stone …

Drawing With And Without Models: An Examination Of Drawing Behavior In Children And Adults, Jenet Bogles

Theses and Dissertations (Comprehensive)

Research in drawing development has indicated that individuals’ drawing behavior changes with age. Preschoolers, six, nine, twelve year-olds, and adults participated in the present study since these ages corresponded to the most prominent stages noted in the literature. Part one of this study examined drawing behavior in three drawing conditions: a model-absent condition (C1) in which drawing took place following a brief verbal description, a model briefly-present condition (C2) in which the model on which the verbal description was based was examined and drawn when removed from sight, and a model continuously present-condition (C3) in which drawings were made while …

An Evaluation Of Drama Therapy As A Form Of Secondary Prevention For Children With Social Skills Deficits, Myra Kosidoy

Theses and Dissertations (Comprehensive)

The following study investigated the effectiveness of an intervention that was based on creative drama designed to improve the social skills of school age children identified as deficient in social-emotional development. The intervention, termed the structured fantasy approach, combines theoretical principals from psychodynamic theory, social learning theory, and creative drama. The study was conducted at a public school in the Kitchener-Waterloo area. Eight students from the third to sixth grade participated in a ten-week social skills program, while seven students from first to third grade participated in a similar program. Five first to third graders and four third to six …

The Output Of Compression Hearing Aids With A Transient Input Signal, Michael Andrew Berg

Dissertations and Theses

The output characteristics of five compression hearing aids in response to a transient signal were examined to determine if, the input-output function (i.e. output levels of the hearing aid as a function of input level) for a transient signal could be made to approximate that of a continuous signal, by activating the compression circuit with a second signal (activator). Input-output functions for three input compression and two output compression hearing aids were obtained in order to determine if: 1. the automatic gain control (AGC) was activated by the second signal and the transient signal output approximates that of a continuous …

Normative Data On The Auditory Memory Test Battery For Ages 9 Through 13 Years, Elisabeth Y. Carter

Dissertations and Theses

Auditory short-term memory (STM) is important for speech and language development and for learning new information presented auditorily. Research has shown that auditory STM ability is of a developmental nature in the 5 through 8 year age range for a variety of auditory stimuli. Many tests and subtests are available to measure auditory STM ability, however one test, the Auditory Memory Test Battery (AMTB) measures auditory memory span and memory for sequence for 5 types of stimuli.

The purpose of this study was to collect normative data on the AMTB scores of normal 9 through 13 year old students and …

Speech Reception Via Bone Conduction, Sherry G. Morris

Dissertations and Theses

The purpose of this investigation was to determine if the performance-intensity function for spondees delivered via bone conduction (using the Radioear E-72 and Pracitronic KH-70) differed from the performance-intensity function for air conduction (using TDH-39 earphones). A secondary consideration addressed in this study was the comparison of the discrimination scores using the three transducers. Performance-intensity functions for spondee thresholds were calculated on 12 normal hearing subjects using two bone conduction vibrators, the Radioear B-72 and Pracitronic KH-70, and TDH-39 earphones. Results indicated that there was no significant difference between the performance-intensity function of speech via bone conduction as compared to …

Reading Comprehension In Dementia Of The Alzheimer's Type : Factual Versus Inferential, Donna Jensen Graville

Dissertations and Theses

The purpose of this study was to investigate the reading comprehension abilities of those with mild and moderate dementia of the Alzheimer's type (DAT) and compare their performance to that of a sample of non-demented elderly. Thirty-eight male subjects were used, 20 non-demented elderly, nine mild DAT and nine moderate DAT. All were administered level B of the NRST. This test contains questions requiring three levels of inference: literal, translational, and high-level inference.