Nursing Commons^™

A Century Of Caring, Loma Linda University School Of Nursing

Loma Linda Nurse

Commemorative 12-month calendar published by Loma Linda University School of Nursing in honor of its centennial celebration in 2005. It features images of students and nursing professionals. The following is an excerpt found within the calendar:

The School of Nursing, established in 1905, was the first in a group of schools which in 1961 became Loma Linda University. In 1949, the School of Nursing became a college-based program granting the baccalaureate degree. In 1960, the associate in science degree program was begun as an integral part of the School. The first master's degree in nursing were granted in 1957. The …

Palliative Care Nurses' Perceptions Of Their Management Of The Psychosocial And Spiritual Pain Experienced By Their Clients In The Home Hospice Setting, Laurence Vogler

Theses : Honours

Pain, in palliative care clients, consists of more than just a physical manifestation of their condition. Pain can be experienced on a psychological or emotional level, a psychosocial level or even at a spiritual level. It is widely accepted that nurses in the palliative care setting manage well the physical issues that their clients have, but perceptions can vary on their management of the "non - physical" pain experienced by their clients. This study provided an opportunity for palliative care nurses to describe their perceptions of their management of the psychosocial and spiritual pain experienced by their clients in the …

Nursing Students' Self-Efficacy And Attitude: Examining The Influence Ofthe Omaha System In Nurse Managed Centers, Cherie Mooy

Master's Projects

Self-efficacy, or confidence, as an outcome behavior has been identified as influencing nursing job satisfaction and retention. Clinical learning environments and teaching strategies that build and support perceived self-efficacy are critical aspects of preparing new nurses for their entry and continuing role as professional nurses in today's information-intensive data-management healthcare environment. The purpose of this pre-test post-test study is to measure, using the C-scale (Grundy, 1992), nursing students' self-efficacy to perform patient assessment in Nurse Managed Centers (NMC) after one semester of using the Omaha System documentation framework. Nursing students' attitudes of preparation for using Standardized Nursing Languages (SNL) in …

Demographics And Perceptions Of Work Environment For Registered Nurses, Pamela Brotherton Sedano

Master's Projects

Registered nurses (RNs) are the lifeblood of hospitals. Therefore, retaining skilled nurses is necessary to insure the viability of these institutions. A two-year longitudinal, non-experimental research study utilized a descriptive design to compare the perceptions of RNs who remained on their units to those who left or changed units over a two-year time period. The purpose of this study was to ascertain whether there was a statistically significant difference between these two groups. Results in several areas indicate that further evaluation is necessary by nurse managers and administration. This information could help retain RNs as well as attract qualified nurses …

Fostering Clinical Judgment During Preceptorship, Susan Mcniesh

Master's Projects

The role transition from student nurse to new graduate nurse commonly includes a preceptor relationship. Preceptorships are often the culminating nursing education experience for senior baccalaureate nurses and are used as well for orienting new graduates as they begin their staff nurse role in the hospital setting. The preceptee is paired with an experienced nurse who is charged with supporting, teaching, and exemplifying safe and competent patient care. In many cases preceptors are ascribed the task of independently validating the preceptee's ability to exercise clinical judgment. Today's health care environment requires nurses to be proficient critical thinkers. Patients need more …

Staff Nurse Perceptions Of The Contributions Of Students To Clinical Agencies, Geraldine Matsumura, Lynn Clark Callister, Sheri P. Palmer, Amy Harmer Cox, Larissa Larsen

Faculty Publications

This study is a replication and extension of Grindel and associates' 2001 study of the perceptions of staff nurses (psychiatric, perinatal, and medical/surgical) regarding the benefits of having students from a baccalaureate nursing program work in clinical agencies. Using the Nursing Students' Contributions to Clinical Agencies tool, the overall perception of students' contributions ranged from -4 to +5, with a mean of 2.50. The two highest ranked items were "allows opportunities for mentoring" and "threatens professional role development," indicating the ambivalence staff nurses feel toward nursing students. Qualitative data also demonstrated the benefits and challenges of working with students. Recommendations …

Learning Nursing Research Through Faculty-Mentored Projects, Patricia K. Ravert, Ben Boyer, Kirsten Harmon, Holly Scoffield

Faculty Publications

Baccalaureate nursing educators have incorporated nursing research content into the curriculum for many years. Our university also proposes that students have a faculty-mentored learning experience at least once during their undergraduate education. Student research, guided by a faculty mentor, provides an excellent opportunity for students to learn about and participate in nursing research. The authors describe a unique experience of nursing students working as research assistants in a faculty research project using a human patient simulator.

Health Care Barriers For Latino Children And Provision Of Culturally Competent Care, Jane H. Lassetter, Joan H. Baldwin

Faculty Publications

The demography of the United States is rapidly changing. The impressive growth rate of Latino populations within the United States has great impact on health care. This article includes discussion of a significant increase from 1988 to 2000 in Latino utilization of emergency department and inpatient services at a pediatric medical center in Salt Lake City, Utah, information on health care barriers for Latinos, and suggestions for providing culturally competent care.

Commencement Program 2004, Loma Linda University

Commencement Programs

CONTENTS

2 | 2004 Events of Commencement

3 | The Academic Procession

4 | Significance of Academic Regalia

5 | The Speakers

12 | The University Honorees

19 | The School Honorees

27 | The Program

• School of Medicine, 28
• School of Dentistry, 35
• Graduate School, 44
• School of Nursing, 54
• School of Allied Health Professions - Physical Therapy, 59
• School of Allied Health Professions, 65
• School of Public Health, 73

Investigating The Correlation Between Nurses' Spiritual Well-Being And Spiritual Care Perspectives, Marion Lieber Reyes

Master's Projects

The purpose of this study was to investigate the relationship between nurses' spiritual well-being (using the JAREL Spiritual-Well Being Scale) and their perspectives of spiritual care (using the Spirituality and Spiritual Care Rating Scale). Both instruments use Likert-scale ratings. An additional survey obtained general demographic information including an item regarding spirituality in nursing in-service participation. A total of 130 registered nurses (23%) participated in the study. The data was analyzed using SPSS in which a Pearson's r correlation was performed on the JAREL and SSCRS scores. The results were statistically significant for a positive correlation between nurses' spiritual well-being and …

Nurse Practitioners' Characteristics And Job Satisfaction, Priscilla Wild

Master's Projects

PURPOSE: To identify demographics and job satisfaction levels of currently working nurse practitioners (NPs) in California. DATA SOURCES: A mail-in survey was used to gather data The Mueller McCloskey Satisfaction Scale was sent to a randomized sample of 200 California NPs with active licensure. Descriptive statistical analysis of usable data was employed. CONCLUSIONS: NPs reported high levels of job satisfaction. Aspects of the job that showed significant levels of satisfaction were schedules, flexibility of hours, and interprofessional relationships. NPs were least satisfied with not having professional opportunities such as participation in nursing research, writing/publishing, and belonging to a department/nursing committee.

Staff Perceptions Of Workload And Care Requirements For Incontinent Patients In Long-Term Care Settings, Amy M. Crickmer

Master's Projects

In response to the Omnibus Reconciliation Act (OBRA) mandate "to ensure that a resident who is incontinent of bladder receives the appropriate treatment and services to restore normal bladder functioning ... " (Department of Health and Human Services (DHHS), 1989, p.5333), several studies were designed and implemented to demonstrate that incontinence interventions worked. The research also showed that staff behaviors did not change and toileting programs were not carried forward once studies were completed. What was missing from the research was any mention that certified nursing assistants (CNAs) were asked to participate in the planning phase of an incontinence program. …

The Effect Of Body Position And Mattress Type On Interface Pressure In Quadriplegic Adults-A Pilot Study, Parivash Moody

Master's Projects

Dental morbidity is a chronic problem that affects a child's ability to attend school, to learn, and to enjoy good health. Of all childhood diseases, oral disease ranks as one of the highest and is considered one of the most common and the least treated. The prevalence of dental caries is high among children and adolescents in school populations. This study explored the prevalence of dental caries in a California Central Coast middle school during the 2002-03 school year (N=526). Findings indicated that severe dental caries existed in both boys and girls and in students of various ethnic groups. Approximately …

Assessing Health Beliefs About Colonoscopy, Katherine Gipsh

Master's Projects

The purpose of this study was to assess by questionnaire health beliefs related to colorectal cancer screening ( colonoscopy) in a population 50 years of age and older. The Health Belief Model provided the theoretical framework for data collection. This study was a non-experimental exploratory survey. A total of 42 subjects (31% male and 69% female) completed a 14-item questionnaire that covered psychological factors including health beliefs. Descriptive statistics were used for data analysis. Results of this study shows there is a need for appropriate health education to trigger people to take preventive action ( colonoscopy). Community based health education …

Loma Linda Nurse - Vol. 13, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Table of Contents:

2 | A message from the dean

4 | Loma Linda NURSE news

6 | GLOBAL CONNECTIONS LAUNCHED

11 | CHILDREN WITH CANCER: Research grant awarded to LLUSN professors

12 | LLUSB development report

15 | Letter from the Alumni president

16 | Alumni Homecoming

18 | Centennial Research Conference

19 | Near and far

20 | In memory

Providing Education And Support For Rural Palliative Care Nurses In Western Australia: An Intervention Study, Ruth Mcconigley

Theses: Doctorates and Masters

Rural palliative care nurses (RPCNs) in Western Australia (WA) are a small population, who have embraced the specialist palliative care role since the first palliative care service in rural WA began in 1990. However, there are some challenges involved with being a specialist nurse in a generalist health care setting. fu particular, there is a suggestion in the literature that RPCNs may be professionally isolated, may be prone to burnout, and may therefore experience decreased job satisfaction and may consider leaving the palliative care field.

Ethical Reasoning In Capstone Students, Lynn Clark Callister, Patricia K. Ravert, Eva Stoneman, Geraldine Matsumura

Faculty Publications

Complex ethical issues characterize current healthcare environments. Nurse educators have been charged in the American Association of Colleges of Nursing (AACN) Essentials of Baccalaureate Education for Nursing Practice document with the responsibility to provide baccalaureate graduates with the knowledge and skills to apply ethical decision-making frameworks to clinical practice. However, there is a paucity of literature on ethical reasoning in nursing students. The purpose of this paper is to describe ethical reasoning in capstone students in an integrated baccalaureate nursing program. Themes identified from clinical journal entries include integration of ethics into both personal and professional life, strengthened commitment to …

Analysis Of End-Of-Life Content In Critical Care Nursing Textbooks, Karin T. Kirchhoff, Renea L. Beckstrand, Prashanth Reddy Anumandla

Faculty Publications

Nurses have identified a need for improving their knowledge and skills in providing end-of-life care. Critical care nursing textbooks can serve as an important source of information on end-of-life care for critical care nurses. Hence, an analysis of end-of-life content in 14 critical care nursing textbooks was conducted. Critical care nursing textbooks used for review were published in 1995 or later and identified from the libraries at the University of Wisconsin-Madison and Brigham Young University. The end-of-life content areas identified by the American Association of Colleges of Nursing (AACN), under which the AACN end-of-life competencies for undergraduate nursing students can …

Loma Linda Nurse - Vol. 12, No. 02, Loma Linda University School Of Nursing

Loma Linda Nurse

Table of Contents:

2 | A message from the dean

4 | Loma Linda NURSE news

6 | EXPANDING HORIZONS: the development of international nursing at LLU

12 | Alumni news

13 | LLUSN development report

15 | 2002-2003 donor report

21 | Near and far

22 | In memory

Institutional Issues In The Implementation Of An International Student Exchange Program, Mary E. Duffy, Suzette Farmer, Patricia K. Ravert, Liisa Huittinen

Faculty Publications

The article discusses institutional issues related to the development and implementation of an undergraduate student exchange program in nursing. A consortium of four universities in the United States and six nursing schools in three European countries developed an exchange program to teach a common community health module. Thirty-one students from the United States and 30 students from Europe participated in this program, which was by the U.S. Department of Education and the European Union. The project commenced with a 3-week meeting of faculty and students to design the 8-week exchange program and cultural preparation module. This article describes institutional issues …

A 39-Year-Old Man With Left Shoulder Pain: Comparing 3- And 5-Point Triage Scales, Renea L. Beckstrand, Ellen K. Sanders

Faculty Publications

A 39-year-old Hispanic man arrives in the emergency department complaining of pain in the area of his left shoulder.

Medical Errors, Drug-Related Problems, And Medication Errors: A Literature Review On Quality Of Care And Cost Issues, Jane H. Lassetter, Myrna L. Warnick

Faculty Publications

Medical errors have received a great deal of attention in recent years. The phrase medical errors is an umbrella term for all errors that occur within the health care system, including mishandled surgeries, diagnostic errors, equipment failures, and medication errors. This article is a review and discussion of the literature on the scope of medical errors, with a focus on drug-related problems and medication errors. Cost and quality ideas for addressing these issues are provided.

Commencement Program 2003, Loma Linda University

Commencement Programs

CONTENTS

2 | 2003 Events of Commencement

3 | The Academic Procession

4 | Significance of Academic Regalia

5 | The Speakers

12 | The University Honorees

21 | The School Honorees

29 | The Programs

• School of Medicine, 30
• School of Dentistry, 37
• Graduate School, 45
• School of Nursing, 55
• School of Allied Health Professions - Physical Therapy, 60
• School of Allied Health Professions, 68
• School of Public Health, 77

Attitudes Of Mexican American Women Regarding Type 2 Diabetes Mellitus And Its Management, Ofelia M. Bustos

Master's Projects

Latinos are twice as likely as the general population to have diabetes. Hispanic women with diabetes are medically undeserved. The purpose of this study was to examine Mexican American women's attitudes about type 2 diabetes and its treatment. A convenience sample of 43 Mexican American women, > 18 years of age, and residing in Northern California participated in this descriptive/exploratory non-randomized survey conducted in February and March 2003. The Diabetes Attitude Scale was used to measure the attitudes of Mexican American women about type 2 diabetes and its treatment. Results supported the beliefs that health care professionals needed special training to …

Loma Linda Nurse - Vol. 12, No. 01, Loma Linda University School Of Nursing

Loma Linda Nurse

Table of Contents

2 | A message from the dean

4 | Loma Linda NURSE news

11 | LLUSN mentoring program

12 | THE MAKINGS OF A LEADER: a visit with Marilyn Christian Smith Gearing

16 | LLUSN development news

19 | Alumni Association president's letter

20 | Alumni homecoming

27 | The everyday hero feature

28 | Near and far

29 | In memory

Nurses' Work Environment Perceptions: Key Elements To Retention, Karen De La Cuesta

Master's Projects

A study of work environment perceptions among today's multi-generational registered nursing workforce provides suggestions to enhance job satisfaction and improve retention.

Retaining Intensive Care Nurses In Las Vegas: The Importance Of Nurse Manager Leadership, Megan Vendetti

UNLV Theses, Dissertations, Professional Papers, and Capstones

In today's healthcare climate, retaining staff nurses is desirable and may be a more permanent solution to improve the nursing shortage. Employing a leadership style that is conducive to staff nurse job satisfaction may be needed to achieve that goal. The purpose of this study was to determine the relationship of the unit manager leadership style with job satisfaction and intent to stay in the intensive care setting. Staff nurses in two Las Vegas hospitals, one private and one public, were surveyed. A questionnaire was developed and voluntarily completed by 125 registered nurses employed in adult and pediatric intensive care …

A Phenomenological Study Of Partners Of People With Parkinson's Disease Who Demonstrate Communication Changes, Elsie Janet Doherty

Theses: Doctorates and Masters

Parkinson's disease is a common progressive neurological illness for which there is no known cure. While the cardinal signs are tremor, bradykinesia or slowness of movement, muscle rigidity and postural instability (Jahanshahi & Marsden, 1998, p.3) the patient may face an extended number of years experiencing all, or any combination of, the many other manifestations of the disease process. These manifestations include changes to various aspects of communication including loss of voice volume, diminished body language and loss of facial expression. All of these affect both verbal and non verbal communication. Given the progressive nature of Parkinson's disease the patient …

Loma Linda Nurse - Vol. 11, No. 02, Loma Linda University School Of Nursing

Loma Linda Nurse

Table of Contents:

2 | A message from the dean

4 | Linda Linda NURSE news

11 | LLUSN mentoring program

12 | ANSWERING THE CALL OF NURSING : the story of Anabelle Mills Hills

16 | LLUSN development news

17 | 2001-2002 donor report

23 | Alumni Association President's letter

25 | HOT store

27 | The everyday hero feature

28 | Near and far

29 | In memory

A Young Girl With Missile Trauma Near The Eye, Renea L. Beckstrand, Ellen K. Sanders

Faculty Publications

A 15-year-old girl who came to the emergency department holding tissue to her right eye said that she had been shot. She had right eye pain and swelling below the eye, and she was bleeding. As the girl was getting off a school bus, a male occupant in a car that was driving past reached out of the passenger side window and shot multiple pellets at the school bus with a pellet gun. The shooter was unknown to the girl; the shooting seemed to be random. When the girl was shot she felt pain immediately in the area between her …