Nursing Commons^™

The Effect Of A Change Intervention Within The Framework Of Organization Development On The Frequency Of Use Of Nursing Diagnosis, Sandi Nuberg Gladstone

Masters Theses

Although 64% of the 32 registered nurses who comprised the staff of a pediatric unit had been formally educated in the use of nursing diagnosis, only 27.4% of individualized additions to the nursing care plans were accepted nursing diagnoses. An intervention based on Change Theory as incorporated in an Organization Development framework was initiated to increase the addition of accepted nursing diagnoses to the standard nursing care plans. The effect of the process was followed through the audit of 229 nursing care plans over a thirteen month period using a time series design. Following the intervention, 74.4% of individualized entries …

Patient Perception Of Severity Versus Actual Clinical Severity In Acute Myocardial Infarction (Coronary Care, Cardiac Rehabilitation), Denise Kay Busman

Masters Theses

Myocardial infarction affects many people each year. Patients begin to form ideas regarding their myocardial infarction and perceive elements of their environment shortly after admission to the Coronary Care Unit (Runions, 1985). One of the ideas formed concerns the severity level of their myocardial infarction. The pupose of this study was to identify factors contributing to patients' perceptions of the severity level of their myocardial infarction and in turn compare these perceptions with predicted clinical severity. Numerous studies have explored patients' psychosocial reactions and adaptation to coronary artery disease and myocardial infarction. However, few studies identify patients' perceptions of events …

Music: A Nursing Intervention For Increased Intracranial Pressure, Carol Roberts

Masters Theses

Individuals with increased intracranial pressure (ICP) from all causes are subject to periods of marked increased intracranial pressures. Research since the 1960's has focused primarily on pathophysiologic causes and on variations between pathologies. Since 1978, nursing research has identified increases in ICP with patient-related activities such as suctioning, vagal stimulations, positioning, turning, noises, and emotive conversations. The use of therapeutic touch has been identified as a nursing intervention that correlates with a lowering of ICP. Since auditory pathways have been shown to be intact even in severely brain-injured individuals, the use of music (the universal language) may be effective in …

A Comparison Of The Nurse's Perception Of The Priority Needs Of The Spouse As They Relate To Those Identified By The Spouse, Kathleen A. Johnston

Masters Theses

Twenty-five spouses of patients admitted to the Coronary Care Unit (CCU) with diagnoses of Myocardial Infarction (MI), Rule Out MI, or Angina Pectoris were asked to Q sort 45 "need statements" to reflect their priority needs within the first 72 hours of admission to the CCU. Seventeen nurses caring for the 25 patients were instructed to sort the statements as they felt the spouses would do so. The data were submitted to factor analysis and three factors emerged; the Shared Factor, the Nurse Factor, and the Spouse Factor. The majority of nurses in this study were associated with a factor …

Reducing Chemotoxic Stomatitis In Cancer Patients With A Self-Care Oral Hygiene Protocol, Ruthann Brintnall, Jerilyn Binder

Masters Theses

A Pretest-Posttest Control Group design was used to examine the effectiveness of a self-care management approach to reduce the severity of chemotoxic stomatitis. Orem's nursing model. Levin's self-care theory, and Magoon's constructivist research methodology were employed as the theoretical framework. Subjects, 24 short-stay or out-patient oncology clients, were all beginning treatment with known stomatotoxic agents. Buccal cultures were taken to determine changes in normal oral flora during stomatitis.

The experimental group received information and direction for a systematic oral hygiene protocol. Post-chemotherapy oral assessment score means of the experimental group were significantly better (p

Alteration In Growth And Development: A Nursing Diagnosis Validation Study, Cynthia Peltier Coviak

Masters Theses

A professional profile questionnaire and a case study questionnaire depicting a child with delayed development was mailed to 200 nurses of the Michigan Nurses Association Division of Maternal and Child Health. Of the 60 respondents, 27 (45.8%) indicated a diagnosis in the category of altered development as primary diagnosis for the child and 50 (83.3%) indicated a diagnosis in this category as either primary or secondary diagnosis for the child.

Expertise scores based on level of education attained, years of experience in maternal-child health and in nursing, and experience with children were found to be significantly related to diagnosis of …

Recipients Of A Parents Supporting Parents Program: Commonalities And Concerns, Joyce Derhammer

Masters Theses

This descriptive study was one component of a research project conducted at a large medical center in the midwest. The purpose of this study was to identify common characteristics and perceived concerns, with their relationships, of a population of parents who had received a volunteer parents supporting parents (P.S.P.) service. This service was offered to new parents in an attempt to increase the potential for positive parenting.

Common characteristics found in this group of P.S.P. recipients were: married, first baby, mid-twenties in age, mentally and physically healthy with positive feelings about their own parents, their labor and delivery, and this …

The Relationship Between Social Support, Coping Style, And Emotional Status Among Individuals With Cancer, Undergoing Chemotherapy, Dina I. Hamati

Masters Theses

A cross section descriptive study was conducted to examine the relationship between social support, coping style, and emotional status among individuals with cancer undergoing chemotherapy. A questionnaire schedule consisting of social support, coping style, and emotional status was administered to subjects during their office visits to an oncologist. No significant relationships were found between social support, coping style, and emotional status. A significant correlation was found between those patients who had more affection, affirmation, and aid from their support system and the amount of guilt experienced by those patients (p = .05).

Patients who did not finish high school used …