Nursing Commons^™

Development Of An Evidence-Based Program To Address Burnout And Resilience In Nursing, Heather Zink

Doctoral Dissertations & Projects

Abstract

Problem: Public health nurses at a county health department are experiencing burnout because of the COVID-19 pandemic.

Purpose: The purpose of this program development project was to address burnout in public health nurses during the COVID-19 pandemic through assessment and recommended resilience interventions.

Methods: Two survey tools to measure burnout and resilience were distributed to 70 public health nurses. A literature review using the Wiederman framework for battling burnout and building resilience guided the development of the resilience toolkit.

Intervention: A resilience toolkit consisting of evidence-based interventions, budgets, assessment tools, an example plan, and posters was developed for the …

The Relationship Between Acculturation Level Of Mexican-American Parents And Coping With Their Chronically Ill Children, Nancy Ellen Tena

Masters Theses

This investigation focused on 19 Mexican-American families with neurologically impaired children to determine to what extent they selected particular coping patterns in relationship to their level of acculturation to the Anglo-American culture. Using the Acculturation Rating Scale for Mexican-Americans (ARSMA), the families were categorized according to acculturation level (low, bicultural, and high). The families identified coping patterns (Family Support, Social Support, and Medical Support) which were helpful to them by completing the Coping Health Inventory for Parents (CHIP). Only one statistically significant relationship between acculturation level of these families and extent of their use of coping patterns was found: high …

Productivity Measurement For Home Health Care Registered Nurses, Lazelle Emminizer Benefield

Theses and Dissertations in Urban Services - Urban Management

The purpose of this study is to develop a productivity measurement applicable to home health registered nurses (RNs) by identifying and quantifying the knowledge and ability variables that define productive nurse practice.

A preliminary set of knowledge and ability variables was identified based on content analysis of interviews with local nurse managers and round I of a three round Delphi procedure, using a purposive sample of nurse managers from nationally preeminent agencies. A randomized national sample of 337 nurse managers was then surveyed to determine the relative value and rank of the knowledge and ability variables. These variables were refined …

Evaluation Of Indian Community Alcoholism Programs., D. Christiansen, H. Hansen

Native Health Database Full Text

A med calendar was designed and used to improve medication compliance among Navajo Indian patients in Shiprock. New Mexico. Improvement in med compliance was noted in over 70% of the patients.

Patients' Perceived Benefits Of Home Health Services, Rita M. Holley

Community & Environmental Health Theses & Dissertations

Home care can be described as the provision of health and related social support services to physically and mentally impaired persons in the places of residence considered to be their homes. The purpose of the study was to examine the patients' self perceived benefits of home health care services delivered in Chesapeake, Virginia. This investigation sought to study client satisfaction as it applies to area specific delivery of services, professional competence, and personal qualities. The target population were residents of Chesapeake, Virginia, who were currently or had recently received home care services from ComfortCare Home Health Services.

Evaluating Hospice Care: The Family's Perspective, Linda Clark, M. Susan Jones, Doris Thayer, Beverly Cook

Nursing Faculty Publications

After the death of the hospice patient, the family can provide valuable information for the evaluation of hospice care and services. A family evaluation form facilitates this evaluation.

Pregnant Adolescents' Knowledge Of Infant Development, Lynn A. Standley

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Measuring The Effectiveness Of Patient Teaching In Postpartum Patients, Nancy Racine

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

The Relationship Between Acculturation And Illness Referral Systems Among Urban Mexican-Americans, Heidi Vyhmeister

Master's Theses

No abstract provided.

Gates, Robert J. (Fa 168), Manuscripts & Folklife Archives

Folklife Archives Finding Aids

Finding aid only for Folklife Archives Project 168. Interviews on cassette tape with accompanying documentation that WKU student Robert J. Gates had with Alice Ruth and Shella Procter, concerning their aunt Ora Porter, Warren County, Kentucky's first registered nurse.

The Effect Of Individual Instruction Versus Group Instruction On Compliance In C.O.P.D. Patients, Renee L. Hills

Loma Linda University Electronic Theses, Dissertations & Projects

Because of the evolution of hospitals from general care to acute care centers, the need for more outpatient therapy programs had increased in an effort to aid patients in managing their health care at home. As a result, health care professionals were concerned with the extent to which patients would follow their medication and treatment programs. Marston estimated that approximately 30 to 35 percent of patients fail to follow their physicians' medical recommendations (Marston, 1970).

Discovering a means of insuring patient compliance was a prevalent concern in the nursing and medical professions. Previously we had attempted to blame noncompliance on …

A Comparative Study On The Frequency Of Respiratory, Gastrointestinal, And Allergic Disorders Between Bottle-Fed And Breast-Fed Infants From Birth To Twelve Weeks Of Age, Sylvia C. Souza

Loma Linda University Electronic Theses, Dissertations & Projects

Questions concerning the advantages of breast-feeding have been debated since the introduction of commercially-prepared formula about 50 years ago. Some recognized benefits of breast milk include less respiratory as well as other Infections, less allergy in infancy and later life, and a lower morbidity rate in less-developed countries. From 1955 to 1971 in the United States there was a decline in the incidence of breast feeding related to several factors which included the introduction of formula, mothers returning to the work force, and strict maternity units' rules and routines. Since 1971 to the present there has been a resurgence in …

Community Health Nursing Assessment And Counseling Of The Breast-Feeding Primipara, Donita Rotherham

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted with twenty-one breast-feeding primiparas during the initial four-week post-partal period to test the effect of in-home community health nursing assessment and counseling on the breast-feeding success rate. It was hypothesized that mothers receiving assessment and counseling regarding physical, informational and psychosocial needs, would be more successful than those who were not counseled.

Criteria for success were: (1) breast-feeding at four weeks postpartum, (2) an adequate milk supply as evidenced by no need for formula supplementation to keep the baby satisfied, (3) an infant weight gain of one to two pounds during the four-week period, and …

Community Health Nursing Assessment And Counseling Of The Breast-Feeding Primipara, Donita Rotherham

Loma Linda University Electronic Theses, Dissertations & Projects

An experimental study was conducted with twenty-one breast-feeding primiparas during the initial four-week post-partal period to test the effect of in-home community health nursing assessment and counseling on the breast-feeding success rate. It was hypothesized that mothers receiving assessment and counseling regarding physical, informational and psychosocial needs, would be more successful than those who were not counseled.

Criteria for success were: (1) breast-feeding at four weeks postpartum, (2) an adequate milk supply as evidenced by no need for formula supplementation to keep the baby satisfied, (3) an infant weight gain of one to two pounds during the four-week period, and …

Community Health Nurse Influence On Retiree Health Planning, Patricia Hora

Loma Linda University Electronic Theses, Dissertations & Projects

The number and percent of the population over the age of 60 in the United States is increasing. The majority of these people (96%) are functioning in their own homes (Shanas, 1965). Physical health is important to the enjoyment and utilization of the added years of life. Therefore it seems important to find ways to meet the older citizen before the time of illness and help him/her to develop health goals and plans that will facilitate an optimal level of functioning and improve the quality of life.

The purpose of this study was to describe a method of intervening at …

The Spiritual Dimensions Of Nursing Care, Shirley H. Wipfler

Theses

The Spiritual Dimensions of Nursing Care by Shirley H. Wipfler explores the often-overlooked role of spirituality in holistic patient care. Submitted as a Master’s thesis to Lindenwood Colleges in 1977, the work addresses a critical gap in conventional medical and nursing practices, emphasizing that true healing must consider not only the body and mind but also the spirit. Wipfler argues that the spiritual needs of patients are frequently neglected, typically relegated to clergy, and rarely integrated into treatment plans.

The thesis is structured into three main parts. The first explores the characteristics, functions, and laws of the human spirit, referencing …

Prenatal Instruction Of Breast Feeding Mothers, Anita Berry

Loma Linda University Electronic Theses, Dissertations & Projects

This experimental study tested the effect of prenatal instruction on the success of a group of mothers who desired to breast feed their infants. It was hypothesized that mothers receiving information on how to nurse their infants, how to prevent complications and how to cope with common problems of breast feeding would have a higher success rate than those not so instructed.

Criteria for success was that the mothers would have an adequate supply of milk to meet the nutritional demands of their infant without supplementation, would have fewer and less severe complications, and would express a higher degree of …

Parent-Mediated Contingency Management In The Normal Child, Lena Lantry

Loma Linda University Electronic Theses, Dissertations & Projects

Today there is great need in the community for a preventive nursing intervention tool that would reach a greater number of children who have behavior problems not serious enough to require clinical help, yet disruptive enough, to impair the quality of their lives. Specifically, there is need for a tool that could incorporate in its design an economy of manpower and means and yet preserve the dignity and security of its beneficiaries.

In 1972, researchers Miller and Reiswig demonstrated the effective use of parent-mediated contingency management with four families in the community by the case study, method. To further develop …

The Applicability Of Values Clarification To Cardiac Patient Education, Bonnie Berger, Vilma Raettig

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the applicability of the value clarifying approach as an additional educational method to assist the chronic heart patient to examine his life style, establish some priorities, and implement changes in his life style in light of his disease condition and the limitations it imposes.

In an experimental study 20 male and female, medical and surgical cardiac patients participated in an educational program involving 8 value clarifying sessions. After these sessions the patients evaluated their own behavior in terms of their self-set goals, in the life style areas of smoking, diet, work, exercise …

A Community Health Nursing Care Plan, Gayle Clark

Loma Linda University Electronic Theses, Dissertations & Projects

Structured nursing care plans are recognized tools in the effective utilization of the nursing process. Community health nursing services have not commonly used structured nursing care plans. The purpose of this study was to improve the management of patient problems through the deliberate use of the nursing process by providing the public health nurse with a structured nursing care plan. A plan was developed which consisted of a nursing history outline, a plan for action tool, and an evaluation form.

The nursing problem of milk anemia was selected to be managed by public health nurses in the study. Six nurses …

Positive Relationships Between Community Health Nurses And Alienated Families Reduce Threat, Dolly L. Avant

Loma Linda University Electronic Theses, Dissertations & Projects

This study concerned the identification of threat associated with alienation in families exhibiting "uncooperative" behavior within the community health nurse's caseload, and, the testing of nursing principles to establish a working relationship with an experimental group of these families to reduce those feelings of threat and thereby change the "colored" perception of the community health nurse as is held by patients with feelings of threat associated with alienation.

Twelve community health nurses were given the following specific behavioral criteria to select a population of "uncooperative" patients from their caseloads: 1. Gives unreliable information 2. Uses the nurse as a "buffer" …

Patient Preference In Two Types Of Colostomy Irrigations, Mildred Ann Marks

Loma Linda University Electronic Theses, Dissertations & Projects

The purposes of this study were threefold: (1) to find which method of colostomy irrigation (enema bag vs. bulb syringe) was best accepted by colostomy patients; (2) to functionally evaluate the two types of colostomy irrigation methods; and (3) to report the results of this study to medical personnel interested in advancements for colostomy irrigations. The population in this study consisted of colostomy patients who had irrigated on a regular basis with the bag technique for a minimum of six months. Twelve colostomates completed this study by recording the parameter of time, amount of irrigation fluid used, quality of return, …

A Comparison Of Various Teaching Methods For Patients With Chronic Obstructive Pulmonary Diseases, B. Carol Altizer, Nancy S. Bailey

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether patients with chronic obstructive pulmonary disease (C.O.P.D.) learn more from auditory or from visual teaching. Of the 30 patients in the sample, 10 used a programmed instruction booklet, 10 used a taped recording of the same programmed material and 10 were in a control group which received no specific teaching.

A pre-test was given to each of the patients who met the criteria for the study. One researcher gave the pre-test through an oral interview with the patient. After the pre-test, the patient received the teaching device assigned to him …

Influence Of Hospital Communication On Health Supervision Of High-Risk Infants, Alda L. Forte

Loma Linda University Electronic Theses, Dissertations & Projects

The study was conducted to explore the extent to which communication about high-risk infants identified prior to hospital discharge, influences the public health nursing supervision to these infants during the neonatal period. A high-risk infant was defined as one that stands a greater than average chance of developing neonatal, life threatening disease or sequellae (physical, intellectual, or social handicap) due usually to maternal health or social factors, infant factors such as length of gestation, birth trauma, or complications at birth. The hypothesis tested was that when high-risk infants are identified prior to hospital discharge and this information communicated on the …

Adherence Of Men With Myocardial Infarction To Prescribed Exercise, Marsha Schwartz

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out if men with myocardial infarction followed exercise prescribed by the physician. The reasons the patients did or did not follow the exercise prescription were investigated.

An interview guide was used to gather the data for this exploratory study. The questions on the interview guide were designed to obtain information to compare the former exercise pattern of the patient to exercise after infarction. Adherence to the exercise prescription was also determined by the exercise reported in the interview. Fifteen male subjects who had myocardial infarction were interviewed in the hospital and after …

Barriers To Attainment Of Health Care In West Central Maine : A Critique By The Poor, Health Facilities Planning Council

Maine Collection

Barriers to Attainment of Health Care in West Central Maine : A Critique by the Poor

"Conducted by the Health Facilities Planning Council, 11 Parkwood Drive, Augusta, Maine under contract to Maine Department of Health and Welfare, June, 1969."

Contents: Foreword / Table of Contents / Introduction / Map / Franklin County / Housing / Dental Rot / Franklin County Memorial Hospital / Family Planning / RN's / State Public Health Nurses / Unmet Health Needs / The Last Outpost / Home Visit in Farmington Falls / Home Visit in Industry / Home Visit in Rangeley Area / Conversations on …

Nursing Needs Of Selected Patients On Home Care, Margie Sue Temples

Loma Linda University Electronic Theses, Dissertations & Projects

A study was conducted to identify selected needs of patients receiving nursing care at home through the Loma Linda University Hospital Department of Home Care. The descriptive survey was used. Fifty patient home care records were reviewed.

From the general information secured, it was found that 68 percent of the patients studied were women. One-half of all patients were under sixty years of age. Fifty-four percent lived with a spouse only, while 26 percent lived with their family. There were 20 percent who lived alone and six of these were over the age of sixty. Patients were found in nine …

Everyday Living Needs Of The Non-Acute Medical Patient That Can Be Met By Public Health Nursing, F. Yvonne Miller

Loma Linda University Electronic Theses, Dissertations & Projects

The elementary principles of home nursing care have been employed since the dawn of time. These principles have evolved into the present-day home care programs. Due to the increase of chronic disease, a longer life span, a rise in hospital costs, and the changes in medical care — new demands are being made in planning for nursing care in the home.

The problem of this study was to determine by patient evaluation which everyday living needs would be present upon discharge and if these needs could be met best by Public Health nursing. For the purpose of this study patient …

Factors Hindering Public Health Nursing Of Tuberculosis Patients, Lida Mae Yeoman

Loma Linda University Electronic Theses, Dissertations & Projects

The study was conducted to identify some of the factors that interfere or hinder the public health nursing of the private physician's tuberculosis patient. Of fifty-one tuberculosis patients who received their care from private physicians, nineteen were interviewed. The sample was limited because patients had moved and because patient or physician refused to participate. Data were collected by use of an interview in the home. The overall findings indicated that the private physicians tuberculosis patient recognized the role of the public health nurse and the responsibility of the Health Department but resented its authority. It would appear that the patients …

The Image Of The Public Health Nurse As Seen By The Medically Indigent Prenatal Patient, Arlene Parrish Gray, Corlene Waddell Lambeth

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to ascertain the image of the public health nurse as seen by the medically indigent prenatal patient who has had a public health nursing visit in the home. With this knowledge, she could plan a more effective approach, provide better services, and be better prepared to meet the needs of the prenatal patient. This study was aimed to explore the patients' concepts of the public health nurse's personal characteristics, her functions, and comparison of her image with other helping professions and to identify influencing factors affecting image formation. The exploratory approach was used and …