Mental and Social Health Commons^™

Depression, Anxiety, Hazardous Drinking, Subjective Burden, And Rewards In Family Caregivers Of Patients With Chronic Liver Disease, Lois Vennesta Bolden

Theses and Dissertations (ETD)

This descriptive correlation study had three purposes. The study first described depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by family caregivers of patients with chronic liver disease (CLD). Second, the investigator compared depressive and anxiety symptom levels, prevalence of hazardous drinking, rewards, and subjective burden reported by African Americans family caregivers with those reported by Caucasian family caregivers of patients with CLD. The third purpose was to determine the predictors of subjective burden and mental health status of family caregivers of persons with CLD.

A convenience sample of 73 caregivers of patients receiving …

Recruitment And Retention Of African Americans With Severe Mental Illness In Community Research, Michelle Hampton, Mary White, Linda Chafetz

Faculty Publications

No abstract provided.

'Science Of Trivalency', Kwaku L. Carlisle Woods Rn Md Metd1, Dr. Kwaku L Carlisle Woods Rn Md Metd1

Walden Faculty and Staff Publications

Due to mine cross cultural living, (I was born in the U.S. but grew in Southeast Asia), I became very interested in the Anthological, Social and Scientific difference between cultures. This led to a historical meta evaluation of humanity in general. Using the principals of Noetic Science, this evaluation reviled the ignorance and down right absence of any educational opportunities to learn the true functional abilities of mankind.

The Relationships Between Depression And Other Outcomes Of Chronic Illness Caregiving, Pao-Feng Tsai, Mary M. Jirovec

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Many caregivers with chronically ill relatives suffer from depression. However, the relationship of depression to other outcomes of chronic caregiving remains unclear. This study tested a hypothesized model which proposed that hours of care, stressful life events, social support, age and gender would predict caregivers' outcomes through perceived caregiver stress. Depression was expected to mediate the relationship between perceived stress and outcomes of chronic caregiving (physical function, self-esteem, and marital satisfaction).

Methods

The sample for this secondary data analysis consisted of 236 and 271 subjects from the Americans' Changing Lives, Wave 1, 1986, and Wave 2, 1989, data …

Ua61 Newsletter, Wku Health & Human Services

WKU Administration Documents

Newsletter created by and about the College of Health & Human Services.

• Bonaguro, John. Letter from the Dean
• WKU Clinical Education Complex Moves Forward
• College Welcomes New Associate Dean – Sylvia Gaiko
• Visiting Scholar from Bournemouth University, England – Mandy Rumley
• Partners Key to Successful Hispanic Health Fair & Screening Event
• Area Health Education Centers (AHEC) 4-H Program
• Hispanic Initiative Gets $700K in Funding
• American Humanics Program Implemented at WKU
• CHHS Focuses on Gerontology
• Gerontologist Dr. John Krout Visits WKU
• Rural Elderly Advocacy Program with Students (REAPS)
• Kentucky Emergency Medical Services Academy Offers EMS Management Workshops
• A Day to Give …

Smoking Cessation Education Needs As Reported By Current Smokers, Former Smokers, And Nurses, Ana Grynwald

Theses, Dissertations and Capstones

Purpose: The purpose of this study was to determine if there is a difference in the importance of selected smoking cessation information to current smokers, former smokers, and nurses in the Appalachian population. There were no instruments found in the literature to assess the perceptions of educational content for smoking cessation, therefore, a Smoking Cessation Education (SCE) survey was developed to measure the perceptions. The conceptual framework for this study was based on the Health Belief Model developed by psychologists Drs. Godfrey M. Hochbaum, S. Stephen Kegeles, Howard Leventhal, and Irwin M. Rosenstock..

Design: The SCE is a ten question …

A Study Of The Relationships Among Secondary Traumatic Stress, Coping, And Years Of Service In Firefighter/Emergency Medical Service Personnel, Lynne S. Sanders

Faculty Dissertations

The purpose of this study is to examine relationships among stress, coping, and years of service in rescue personnel. One hundred sixteen voluntary subjects employed in Fire/EMS service in a small southern city participated in the study. Subjects completed a demographic questionnaire, The Davidson Trauma Scale (DTS), and The Coping Inventory for Stressful Situations (CISS).

The incidence of symptomatic stress for the sample was 19.8 percent, higher than the general population but comparable to rates found in other studies of rescue workers. Calls involving children were rated as most disturbing by the subjects. There was no relationship found between years …

Comparison Of Domestic Violence Outcomes Among Emergency Department Nurses, Pamela S. Neal

Theses, Dissertations and Capstones

Purpose: The purpose of this study was to examine the relationships between domestic violence education, organizational support, screening, danger assessment, safety planning, and referral practices among professional registered nurses in two ED settings.

Sample & Setting: A convenience sample of 63 professional registered nurses provided data from two EDs. An ED located in Kentucky where state mandated continuing education in domestic violence was required (n = 33) and an ED in West Virginia (n = 30) where mandated continuing education in domestic violence was not required was the setting for the study. The samples were separated based on nurses who …

Depression In Women With Heart Disease, Kimberly M. Ashcraft

Theses, Dissertations and Capstones

The purpose of this study was to examine the relationship between anxiety and anger with depression in women with heart disease. A sample of 50 women participating in cardiac rehabilitation programs in Charleston, WV and Huntington, WV was used to evaluate the inter-relationship of suppressed, expressed, state and trait anger, state and trait anxiety and depression. This non-experimental, descriptive designed study was evaluated by using multiple linear regression and regression coefficients analyzed for the anger and anxiety scores and their interaction. Depression was measured by the Beck Depression Inventory II (BDI-II). Anxiety and anger were measured by Spielberger’s State-Trait Anxiety …

Marijuana Photonovel, A Year Up In Smoke, M. Susan Jones

Nursing Faculty Publications

No abstract provided.

Political Psychology And Critiques Of The Scientific Method: Azt, Asia, Africa, Ibpp Editor

International Bulletin of Political Psychology

This article critiques critiques of clinical outcome studies carried out in Third World countries of Asia and Africa for new methods of AZT treatment that might affect the transmission of HIV from pregnant women to their infants. Some of these studies have been supported by the United States' Centers for Disease Control (CDC) and National Institutes of Health and opposed by several articles in The New England Journal of Medicine.

Prescribing Medications For Mood Disorders, Judith S. Lynch

Nursing Faculty Publications

The nurse practitioner plays a vital role in the treatment of mood disorders in the primary care setting. An important part of the primary care of these patients will require the accurate prescribing of common psychotropic medications and the monitoring and follow-up of a holistic management plan.

Coping Processes Used By Mothers Of Triplets, Susan Mullen Kaplan

Health Services Research Dissertations

The purpose of the study was to identify and describe the coping processes used by mothers of triplets. Using a descriptive design, interpersonal comparisons of 92 mothers of triplets attending a national meeting of families of higher order multiples were made. Variables, in addition to sociodemographic characteristics, included coping processes, levels of depression, perceived availability of social support, and current stress levels. Coping processes were measured using the Ways of Coping Questionnaire (Folkman & Lazarus, 1988), derived from their cognitive-phenomenological theory of stress and coping. Level of depression was measured using the Zung Self-rating Depression Scale (Zung, 1965). Perceived availability …

Contributing Factors In Medication Nonadherence In Schizophrenic Clients: A Descriptive Study, Sharron E. Howarth

Masters Theses

Medication nonadherence in schizophrenic clients is a major issue for psychiatric nurses. The purpose of this descriptive study was to explore factors identified by the schizophrenic client and the client's primary nurse that contribute to medication nonadherence. The Health Belief Model and Peplau's Model were the theoretical frameworks used. The sample included 20 schizophrenic clients with a history of medication nonadherence and 20 primary psychiatric registered nurses.; Face-to-face interviews using the Compliance Interview Questionnaire were conducted with the psychiatric client and the primary nurse. Results indicated a difference between nurses' and clients' perceptions of the reasons for medication nonadherence. Most …

Nurses' Verbal Responses In Four Types Of Client Situations, Ann V. Dilbeck

Masters Theses

The purpose of the study was to determine to what degree nurses vary in their utilization of empathy when responding to patients experiencing different types of physical and emotional discomfort. Nurse participants ({dollar}N = 32{dollar}) worked primarily in a hospital setting. They were administered the Behavioral Test of Interpersonal Skills and responded to videotaped vignettes. Actors portrayed patients exhibiting pain, anxiety, depression, or anger. "Feeling", "Content", or "Don't Feel" were the three categories scored. "Don't Feel" responses negate or suppress patient's feelings.; A chi-square was done to compare "don't feel" responses to all other responses. "Don't Feel" responses were generally …

Stress And Stress Management: A Photonovel, M. Susan Jones, The Kentucky Partnership For Farm Family Health & Safety, Kay Carr, Deborah Williams

Nursing Faculty Publications

No abstract provided.

Prediction Of In-Hospital Delirium In Elderly Hip Fracture Patients Using Family Assessment Of Pre-Morbid Cognitive Behaviors, Ronell R. Ruhlandt

Masters Theses

The elderly are the fastest growing segment of the population in the United States. Elderly persons are at high risk for developing delirium when hospitalized. The purpose of this study was to determine if pre-morbid cognitive behaviors were predictive of in-hospital delirium in elderly hip-fracture patients. The ability to predict or diagnose delirium early could prevent complications during hospitalization and decrease the length of hospital stays. The study was descriptive correlational. Subjects were admitted to a metropolitan teaching hospital during February through August 1993, were 60 years or older, and were diagnosed with hip fracture. Admission assessments included the Cognitive …

The Effect Of Support Groups On Aids Patients, Karen Bouwman

Masters Theses

The purpose of this study was to answer the following question: Will individuals with HIV/AIDS have the same or decreased levels of anxiety and hopelessness after participating in a support group? A one-group pretest-posttest design was used. A convenience sample consisted of 40 persons with HIV/AIDS attending a large support group which met on a weekly basis. Spielberger's State Anxiety Inventory (SAI) and Beck's Hopelessness Scale (HS) were administered to the participants. Six weeks later, the HS and SAI were repeated. A Social Support Inventory was also given to assess the subject's perceived satisfaction with the support group. Based on …

The Impact Of Delirium On Mental Status And Physical Functioning Of The Hip Fracture Patient One To One And One Half Years Post-Injury, Delores L. Arendsen

Masters Theses

Delirium occurs frequently among hospitalized hip fractured elders. The purpose of this study was to examine the impact of a delirious episode on physical and mental status of those patients 12-18 months post-injury. This ex post facto correlational study utilized Levine's Conservation Principles as the conceptual framework. The sample consisted of 67 subjects age 60 or older. The Mini-Mental State Examination (MMSE) and Katz Index of Activities of Daily Living (ADL) were administered on admission and by telephone at the post-injury interview. The Confusion Assessment Method (CAM) Diagnostic Instrument was used to assess for the syndrome of delirium. Eleven (16%) …

Relationship Between Coping Strategies And Perceived Quality Of Life In Icd Recipients, Jacquelyn M. Oliai

Masters Theses

A descriptive, correlational design was used to examine the relationship between use of the 8 coping strategies as identified by Jalowiec (1987) and quality of life (QOL). In addition, relationships and differences among demographic variables and stressors, as well as answers to open ended questions were examined. Thirty-nine Implantable Cardioverter Defibrillator (ICD) recipients who were {dollar}\ge{dollar}1 year post implant completed the Jalowiec Coping Scale, a revised Quality of Life Index Scale, and an informational questionnaire. Betty Neuman's conceptual framework for nursing provided the theoretical framework for this study.; There were no statistically significant results found from the data of this …

Abuse, Neglect And Exploitation In Licensed Facilities - Recognize It - Prevent It - Report It, Maine Department Of Human Services

Maine Collection

Abuse, Neglect and Exploitation In Licensed Facilities - Recognize It - Prevent It - Report It.

Maine Department of Human Services - Bureau of Elder and Adult Services, Augusta, Maine (August 1993).

Contents: Introduction / Signs of Abuse and Neglect / Abuse: Risk Factors / Prevention / Maine's Reporting Law / Investigations of Reports of Abuse, Neglect or Exploitation / Where to Report / Other Relevant Agencies

Development And Testing Of The Stress Adaptation Scale For Parents With Chronically Ill Children (Sasp), Carolyn M. Rutledge

Ellmer School of Nursing Theses & Dissertations

This research study consisted of four phases used to develop and test the Stress Adaptation Scale for Parents with Chronically Ill Children (ASP). The first phase dealt with developing the items on the SASP from a review of the literature and the researcher's professional experience. The SASP was then divided into the six categories of health care, social, personal, familial, financial, and spiritual. In phase II, content validity was evaluated by a panel of experts. In phase III, stability over time and face validity was demonstrated using 26 parents of chronically ill children. The SASP achieved a Pearson's r=.85 with …

Association Of Drinking-Related Locus Of Control And Treatment Outcomes In Female Alcoholics, Patricia A. Townsend

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Smoking Behavior Among Alabama Student Nurses : The Role Of Behavioral Beliefs And Normative Referencing, Judith Rausch

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine predictors of smoking behavior for the senior student nurses in the state of Alabama using Ajzen and Fishbein's Theory of Reasoned Action. Smoking prevalence by level of educational preparation and selected health behaviors were examined for relationship to cigarette use.

A sample of 11 schools of nursing were selected from Alabama's 34, using a random numbers table. There were 13 total programs as two of the schools had both A.D. and B.S. nursing programs. Thirty-two percent (N=555) of senior A.D., B.S. & diploma students nurses in Alabama responded to an 87 item …

The Effect Of Therapeutic Touch On Anxiety And Physiological Measures, Marie Nicholas Bremner

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to investigate the relationship of therapeutic touch to anxiety, blood pressure, heart rate, and respiratory rate of 30 hospitalized women between the ages of 30 and 65 with the medical diagnosis of cancer. Subjects were matched into three intervention groups; three consecutive days subjects received a five minute intervention by therapeutic touch, casual touch, or no touch. A-trait and A-state anxiety were measured by the Self-Evaluation Questionnaires developed by Spielberger, Gorsuch, and Lushene. A factorial two-way analysis of variance revealed that subjects who received intervention by therapeutio touch experienced a significant reduction in A-state …

Measuring Interpersonal Dependency In Adolescent Psychiatric Inpatients, Susan D. Schaffer

Ellmer School of Nursing Theses & Dissertations

The successful inpatient treatment of emotionally troubled adolescents must facilitate their achievement of developmentally appropriate independence while minimizing the maladaptive dependency that can be fostered by the hospitalization experience. Levels of interpersonal dependency were measured in seven adolescent psychiatric inpatients over a ninety day period. The Interpersonal Dependency Inventory by Hirschfeld, Klerman, Gough, Barrett, Korchin, & Chodoff was utilized. The individual therapist of each participant independently assessed the participant's response to hospitalization at forty-five and ninety days using a five point Leikert type scale. The study demonstrated no significant changes in dependency levels at forty-five and ninety days. The therapist's …

The Relationship Of Professional Educational Level And Experience On The Attitudes Of Nursing Personnel Towards The Alcoholic, Patricia Pruett Barnes

Loma Linda University Electronic Theses, Dissertations & Projects

The abuse of alcohol is the most serious and pervasive substance abuse program in the country, outranking heroin addiction in the number of people affected, in cost, and in psychological-social-familial upheaval. Health problems generated by the excessive consumption of alcohol require that the nurse play a significant role in the care and treatment of alcoholics and their significant others, such role de riving its importance from the direct professional relationship which develops between the nurse and the client. In order to provide meaningful and effective nursing care to alcoholics, the nurse must have a thorough understanding of the disease known …

Adolescent Life Change Event Questionnaire, Rosalee Yeaworth, Janet York

Research Instruments: College of Nursing

No abstract provided.

The Effect Of A Values Clarification Strategy On The Smoking Behavior Of Pregnant Women, Jean Eiber

Loma Linda University Electronic Theses, Dissertations & Projects

The null hypothesis of this study stated that there would be no significant difference (α=.05) in the change in smoking behavior following a teaching intervention to discourage smoking in pregnant women between those who completed a values clarifying strategy prior to the intervention and those who did not. Forty subjects were randomly assigned 20 to an experimental group and 20 to a control group. Both groups completed a pretest questionnaire concerning demographic data and smoking behavior. Information regarding the adverse effects on the fetus and on the developing child of smoking was presented to each subject by the researcher. The …

The Effects Of Staff-Training And Daily Feedback On Self-Care Behavior In A Nursing Home, Lorraine F. Schack

Masters Theses

No abstract provided.