Nursing Commons^™

Tobacco And Alcohol Use In People Who Have A Learning Disability: Giving Voice To Their Health Promotion Needs, Maggie Lawrence, Susan M. Kerr, Christopher Darbyshire, Alan Middleton, Hazel Watson

Dr. Susan Kerr

Aim The aim of the study was to explore the tobacco and alcohol-related health promotion needs of people with mild/moderate learning disabilities.

Methodology & Methods The design of the study was grounded in the principles of the Medical Research Council’s Framework for the development and evaluation of complex healthcare interventions. Specifically, a developmental approach was adopted, where evidence was gathered and data collected and synthesised to inform the development of subsequent interventions. Systematic review methods were used to facilitate the gathering of evidence regarding the effectiveness of previous tobacco and alcohol-related interventions designed for people with learning disabilities (PwLD). Following …

A Descriptive Review Of Health Care Providers Perspective On Stigmatization Of Hiv/Aids Patients: United States And South Africa, Ana I. Fonseca

Honors Projects

Compares the issue of social stigma affecting people with HIV/AIDS in the United State and in South Africa. Posits that stigma is more of an interpersonal problem in the United States, while it is a huge barrier to access to care in South Africa. Data was compiled through personal conversations and experiences in South Africa during June 2009, interviews with health professional and community members in Rhode Island during the fall of 2009, and reading of the professional literature.

Are There Differences In The Smoking Identities Of Adolescents Boys And Girls?, Chizimuzo T.C. Okoli, Iris Torchalla, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Purpose:

To assess sex-disaggregated differences in youth characterizations of their own smoking behaviour

Background:

•Smoking identities represent psychosocial constructions of how adolescents who smoke perceive themselves in relation to their smoking behaviour (e.g, ex-smoker, social smoker, occasional smoker, e.t.c.)

•These smoking identities converge (or diverge) with established taxonomies used to describe youth smoking behaviour

•Few quantitative studies have examined differences in smoking identity between boys and girls

Is Exposure To Peer And Family Smoking Associated With Youths' Initial Smoking Experiences?, Chizimuzo T.C. Okoli, Chris G. Richardson, Joy L. Johnson

Chizimuzo T.C. Okoli

Background:

- Peers and family member’s smoking is associated with adolescent smoking.

- Sensitivity to the initial smoking experience, determined by positive (for e.g., feeling relaxed, high, and good) and/or negative (for e.g., feeling nervous, sick, coughing) symptoms upon initial smoking experimentation, is also associated with youth smoking.

- However, the effect of peer and family member’s smoking on the initial smoking experiences of adolescents has not been previously studied.

- We present the findings of a cross-sectional analysis assessing the association between exposure to smoking from peers and family members on the symptoms of the initial smoking experience of …

Education Is The Key To The Prevention Of Lawnmower Accidents, Sherry R. Lovan

Nursing Faculty Publications

No abstract provided.

Assessing Secondhand Tobacco Smoke Exposure Among Persons With Severe And Persistent Mental Illness, Chizimuzo T.C. Okoli, Joy L. Johnson, Leslie Malchy

Chizimuzo T.C. Okoli

Background

• Secondhand tobacco smoke (SHS) exposure increases the risk for cancer, respiratory illness, and cardiovascular disease.

• Individuals with severe and persistent mental illness (SPMI) have a higher smoking prevalence than the general population, placing them at increased risk for related morbidity and mortality.

• Given the higher smoking prevalence in this population, the risk for SHS exposure among smokers and nonsmokers with SPMI should be an issue of concern. Yet, SHS exposure in this population is understudied.

• The purpose of our study was to examine the correlates of SHS exposure in this population. Our specific aims were …

Commencement Program 2009, Loma Linda University

Commencement Programs

CONTENTS

2 | 2009 Events of Commencement

3 | The Academic Procession

4 | Significance of the Academic Regalia

5 | The Good Samaritan

6 | The Speakers

13 | The University Honorees

19 | The School Honorees

30 | The Program

• School of Medicine, 31
• School of Pharmacy, 46
• School of Dentistry, 51
• School of Science and Technology and School of Religion, 63
• School of Nursing, 71
• School of Allied Health Professions - Physical Therapy, 78
• School of Allied Health Professions, 86
• School of Public Health, 95

Evolving The Theory And Praxis Of Knowledge Translation Through Social Interaction: A Social Phenomenological Study, Carol L. Mcwilliam, Anita Kothari, Cathy Ward-Griffin, Dorothy Forbes, Beverly Leipert

Anita Kothari

Background: As an inherently human process fraught with subjectivity, dynamic interaction, and change, social interaction knowledge translation (KT) invites implementation scientists to explore what might be learned from adopting the academic tradition of social constructivism and an interpretive research approach. This paper presents phenomenological investigation of the second cycle of a participatory action KT intervention in the home care sector to answer the question: What is the nature of the process of implementing KT through social interaction?

Methods: Social phenomenology was selected to capture how the social processes of the KT intervention were experienced, with the aim of representing these …

The Relationship Between Nurse To Population Ratio And State Health Ranking, Jeri Bigbee

Nursing Faculty Publications and Presentations

Objective: To evaluate the relationship between nurse to population ratio and population health, as indicated by state health ranking.

Design: Secondary analysis correlational design.

Sample: The sample consisted of all fifty states in the U.S.

Measurements: Data sources included the United Health Foundation’s 2006 state health rankings, the 2004 National Sample Survey for Registered Nurses, and the U.S. Health Workforce Profile from the New York Center for Health Workforce Studies.

Results: Significant relationships between nurse to population ratio and state health ranking (rho = -.446, p =.001) and 11 of the 18 components of the overall ranking (motor vehicle death …

Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach

UNLV Theses, Dissertations, Professional Papers, and Capstones

The worldwide epidemic of child and adolescent overweight and obesity continues to increase at disturbing rates. Unhealthy dietary practice is one of multiple causative behaviors leading to child and adolescent overweight and obesity. This behavior can contribute to short and long-term health consequences. Parents are modulators in the development of children's dietary behavior practices. It is recommended clinical practice that pediatric nurse practitioners (PNPs) assess readiness to change behavior in parents of overweight or obese children. The components of the Prochaska and DiClemente's Transtheoretical Model (TTM) in correlation with the counseling style of Rollnick, Miller and Butler's methods of Motivational …

Determinants Of Physical Activity Behavior And Self-Efficacy For Exercise Among African American Women, Bridget K. Robinson

Theses and Dissertations (ETD)

Background: Inadequate physical activity behavior persists among African American women despite the widely documented benefits of physical activity. Literature notes a positive correlation between self-efficacy for exercise and physical activity behavior. In addition to socioeconomic factors, culturally influenced factors mediate self-efficacy for task such as physical activity. Past studies indicate differing perceptions related to religiosity and body image among African American populations. Additionally, reports indicate Southern and Midwestern states have the highest prevalence of obesity. These states are located in a geographical area known as the Bible belt. Moreover, 73.5% of the African American population in the U. S. resides …

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

Faculty Publications

Data that addresses severely mentally ill (SMI) African Americans (AAs) likelihood to participate in clinical research is limited. This study’s purpose was to determine if differences exist between races regarding eligibility, recruitment, and retention in a community-based clinical trial. The sample included 293 participants. Data sources included clinical records and interviews. Logistic regression was used for analysis. AAs were as likely to participate and to complete followup interviews as Whites. In contrast to studies about non-mentally ill AAs, AAs with SMI appeared to be as willing to consent to and to remain in clinical research studies as Whites.

Prevention Of Mother-To-Child Transmission (Pmtct) Of Hiv In The Sub-Saharan Africa Region With A Focus On Uganda, Emily K. Franks

Senior Honors Theses

With the rise of the HIV/AIDS epidemic in the past thirty years, people of all ages, infants to elderly alike, all over the world, suffer from its adverse effects. Even an unborn baby in-utero can contract this virulent infection by means of mother-to-child transmission (MTCT) (Sweeney, 2005). Infants and children diseased in this way comprise 90% of the estimated 800,000 new cases of HIV in children seen each year, but the region hit hardest, however, is Sub-Saharan Africa, with the country of Uganda historically having the highest incident rate for a time (Stringer, E.M., et al. 2008). Therefore, the purpose …

The Tobacco Dependence Clinic (Tdc): Providing Smoking Cessation For A Drug Treatment Population, Milan Khara, Chizimuzo T.C. Okoli, Deanna Barlow, Catherine Hanley

Chizimuzo T.C. Okoli

BACKGROUND: Drug treatment populations are disproportionately affected by tobacco use morbidity and mortality. However, with adequate intervention, individuals in drug treatment settings can succeed in their efforts towards smoking cessation. The Tobacco Dependence Clinic (TDC) is a program that provides smoking cessation counseling and pharmacotherapy for clients through the Addiction Services program of the Vancouver Coastal Health Authority, British Columbia, Canada. OBJECTIVES: To a) describe smoking cessation services and programs provided by the TDC, and b) evaluate 26 week smoking cessation outcomes of drug treatment clients in the TDC. METHODS: Participants of the TDC program receive a structured 8 week …

Smoking Cessation And Drug Treatment: Identifying Gaps, Milan Khara, Chizimuzo T.C. Okoli, Ric M. Procyshyn, Joy Johnson, Alasdair Barr, Lorraine Greaves

Chizimuzo T.C. Okoli

BACKGROUND: An estimated 70% - 90% of individuals in drug treatment con-currently smoke cigarettes. Although individuals in drug treatment settings are motivated and can succeed in smoking cessation, there is still a lack of systematic knowledge regarding the long-term abstinence, methods employed for successful cessation, and the barriers to smoking cessation in this population.

OBJECTIVES: To: a) describe types of smoking cessation interventions (i.e., cognitive-behavioral and/or pharmacotherapy) employed in drug treatment settings, b) determine the effectiveness of such interventions, and c) identify gaps in knowledge regarding smoking cessation interventions among the drug treatment populations

METHODS: A comprehensive review of the …

Action Required: Revisiting Better Practices In Smoking Cessation Interventions For Pregnant Girls And Women, Chizimuzo T.C. Okoli, Lorraine Greaves, Joan Bottorff, Lenora Marcellus, Charmaine Enns, Richard Stanwick

Chizimuzo T.C. Okoli

Background

Despite considerable medical and research attention, smoking in pregnancy remains a serious public health problem, especially among young and disadvantaged women in high income countries and general populations of women in low and middle income countries. Facilitating successful and enduring smoking cessation during pregnancy and preventing relapse is therefore an ongoing public health challenge globally

Objectives

This Canadian project is aimed at better breaking the cycle of smoking during pregnancy, or quitting and relapsing during postpartum; especially for young, disadvantaged women. Equally, it will address the apparent blockages to effective uptake by health professionals, of research evidence and better …

Are Adolescents Smoking Identities Valid Descriptors Of Their Smoking Behaviour?, Chizimuzo T.C. Okoli, Chris G. Richardson, Pamela A. Ratner, Joy L. Johnson

Chizimuzo T.C. Okoli

Background: Studies have raised concerns regarding mismatches between researchers’ and adolescents’ characterizations of youth smoking behaviour; which may impede tobacco use prevention and cessation programs to reach their intended youth audience. Understanding how youth’s characterize their own smoking behaviour is an important factor for designing tailored interventions.

Objective: To address observations that youths’ smoking identities are valid descriptors of their smoking behaviour we examined the relationships between youths’ self-reported smoking identities, their perceived levels of addiction, and established taxonomies of smoking behaviour.

Methods: Cross-sectional data were collected on demographics, perceived extent of addiction to tobacco, smoking history, and self-reported smoking …

Handbook On Sensitive Practice For Health Care Practitioners: Lessons From Adult Survivors Of Childhood Sexual Abuse, Candice L. Schachter, Carol Stalker, Eli Teram, Gerri C. Lasiuk, Alanna Danilkewich

Lyle S. Hallman Social Work Faculty Publications

This handbook is the culmination of a multiphase, multidisciplinary research project that used grounded theory and participatory action research to illuminate ways that healthcare providers can work sensitively (in a trauma-informed way) with adult survivors of childhood sexual abuse.

The research identified nine Principles of Sensitive Practice: respect, rapport, taking time, sharing information and control, respecting boundaries, fostering mutual learning, understanding non-linear healing and demonstrating an understanding of trauma to patients. Specific guidelines were developed for a wide variety of issues pertinent to clinical practice such as, removal of clothing, touch, responding to disclosures of abuse, managing triggers among others. …

Evaluating Active U: An Internet-Mediated Physical Activity Program, Lorraine R. Buis, Timothy A. Poulton, Robert G. Holleman, Ananda Sen, Paul J. Resnick, David E. Goodrich, Lavaughn Palma-Davis, Caroline R. Richardson

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Engaging in regular physical activity can be challenging, particularly during the winter months. To promote physical activity at the University of Michigan during the winter months, an eight-week Internet-mediated program (Active U) was developed providing participants with an online physical activity log, goal setting, motivational emails, and optional team participation and competition.

Methods

This study is a program evaluation of Active U. Approximately 47,000 faculty, staff, and graduate students were invited to participate in the online Active U intervention in the winter of 2007. Participants were assigned a physical activity goal and were asked to record each physical …

Implications For Nursing Practice: Delivering The Folic Acid Message, Kimberly Townsend Little

UNLV Theses, Dissertations, Professional Papers, and Capstones

In 1995, North Carolina (NC) had one of the highest prevalence rates of neural tube defects (NTDs) in the United States. Since the NC Folic Acid Council began focusing their efforts on educating women of childbearing age regarding NTDs in 1994, the prevalence of NTDs has declined overall by 40%; however, NTD prevalence among Hispanics in NC continues to be double the rate of non-Hispanics. Research has found daily consumption of a multivitamin with folic acid significantly decreases NTDs. Healthy People 2010 include in their objectives the need to increase folic acid consumption in women and reduce the NTD rates. …