Nursing Commons^™

Relationship Between Pulse Oximetry Measurements And Admission To A Hospital In The Wheezing Pediatric Population, Christine K. Dunnuck

Masters Theses

The purpose of this study was to assess the usefulness of pulse oximetry measurements as an objective measure of the severity of wheezing in pediatric emergency clients as demonstrated by subsequent admission. An ex-post facto study design with a retrospective chart review was used. Subjects (n=198) ranged in age from one month to 17 years. Consecutive admissions and random sampling of those discharged were used. Hypotheses were: (a) lower initial pulse oximetry measurements would increase the likelihood of admission and (b) younger patients would be admitted with higher pulse oximetry measurements.

Chi-square analysis and one way ANOVA statistical testing demonstrated …

The Effect Of An Initial Clinical Nursing Experience In A Nursing Home On Associate Degree Nursing Student Attitudes Toward The Elderly, Rita Lareau

Masters Theses

The purpose of this study was to examine the change in associate degree nursing (ADN) students’ attitudes toward the elderly following an initial clinical nursing experience in a nursing home. The Neuman Systems Model (Neuman, 1995) was the conceptual focus for the research. A convenience sample of ADN students in a basic nursing care clinical course at a community college was used. The Kogan Attitudes Toward Old People Scale (Kogan, 1961) was utilized to assess student attitudes toward the elderly. A pretest was administered at the beginning of the course prior to the nursing home experience, and a post-test was …

The Experience Of Nurse Practitioners With Peer Support: A Phenomenological Study, Carol J. Prinzo

Masters Theses

As nurse practitioners move into non traditional roles they sometimes lack a social and professional support. Lack of peer support can cause a feeling of isolation and frustration for advanced practice nurses.

The purpose of this phenomenological qualitative study was to discover the lived experience of nurse practitioners with peer support. Four nurse practitioners described their experiences. These descriptions were analyzed for meaning using the Girogi method.

Four common themes emerged: support throughout the educational process, professional support, support from family and friends and frustration. The description of peer support was unique according to level of experience, practice setting and …

Quality Of Life Of The Hemodialysis Patient, Tammy Bronson

Masters Theses

There are over 250,000 people currently afflicted with end-stage renal disease and the number is rising every year. Although kidney transplant is the treatment of choice, lack of viable organs limits this option. Hemodialysis is the most common treatment modality for end stage renal disease. Quality of care is continuously monitored by physicians, nurses and dietitians, however there is also the need to examine the quality of life of the hemodialysis patient. This study replicated the works of Ferrans and Powers (1993).

Overall quality of life and four sub-scales (health and functioning, social and economic, psychological/spiritual, and family) were evaluated …

Parental Grief Responses To Perinatal Loss, Lisa M. Peacock

Masters Theses

An exploratory, descriptive design was used to examine parental grief and coping responses to perinatal loss. Florence Selder's Life Transition Theory (1989) was used as the conceptual fiamework. A survey approach was used for data collection. This included basic demographic questions, the Perinatal Bereavement Scale and the Jalowiec Coping Scale. A convenience sample was obtained, consisting of 24 women and 6 men in northern Michigan communities who had experienced a perinatal loss at some time in the past. Data were collected by an anonymous mailed survey. The results of the study revealed that all parents in this sample did exhibit …

The Effects Of Reminiscence Therapy On The Elderly Client's Satisfaction With Nursing Care, Nancy Strong

Masters Theses

This study tested if reminiscence therapy would improve client satisfaction with nursing care. An experimental post test only design was used on 39 clients in a moderate sized home care agency in the Midwest. Ages ranged from 65 to 98. A single, one-on-one reminiscence session was done with 22 subjects in their homes after a routine nursing visit. The control group subjects did not receive the reminiscence intervention. The groups were homogeneous except for the number of hospitalizations experienced in the past year. The control group had a significantly higher number.

The Forbes Patient Satisfaction Questionnaire, modified for the home …

The Relationship Of Hardiness And Perceived Social Support To Nurses' Appraisals Of Stress, Susan A. Groesser

Masters Theses

Lazarus' Stress and Coping Theory was used to examine the relationship between hardiness, social support, and nurses’ appraisal of stress as a threat or challenge. This descriptive correlational design used a convenience sample of 40 registered nurses on orientation at a large West Michigan hospital.

Hardiness and social support were dichotomized by splitting them at the median. The proportion of the sample viewing orientation as a challenge versus threat was not significantly different regardless of their hardiness or social support status. The results were limited by lack of variation in stress appraisal (77% challenge) and hardiness levels, sample size, and …

Quality Of Life In Grandparents After A Diagnosis Of Acute Lymphoblastic Leukemia In Their Grandchild, Laura S. Mullins

Masters Theses

The purpose of this study was to assess grandparents' perceptions of their quality of life (QOL) after the diagnosis and treatment of acute lymphoblastic leukemia (ALL) in their grandchild. The following questions were addressed: (a) How do grandparents of children with ALL perceive their current QOL; (b) How do grandparents of children with ALL perceive their current QOL has changed since their grandchild was diagnosed; (c) What specific changes in QOL have grandparents experienced since the diagnosis of ALL in their grandchild; (d) What is the grandparents' overall attitude about life with leukemia; (e) Is there a relationship between the …

Effects Of Education On Disease Management And Prevention Of Complications In Diabetic Patients, Debbie K. Provoast

Masters Theses

The purpose of this study was to examine the efficacy of two specific methods of providing diabetic education employed by two different health clinics in Northern Michigan; Clinic A, which provided an intense program of diabetic education offered through a preventive services program or Clinic B, which provided brief office-based education where patients received all education at the time of the visit.

An ex-post facto retrospective chart review was done on a total of 40 charts, 20 from each clinic for the purpose of obtaining laboratory values for glycohemoglobin, serum creatinine, and blood urea nitrogen, at the beginning and end …

The Concept Of Death Education On Children's Understanding Of Death, Diana K. Clark Schramm

Masters Theses

The purpose of this investigation was to determine if death education has an impact on children's understanding of death. This study was a non-randomized trial of a single educational session on death concepts of 38 second grade children (mean age 7.78 years). The Smilansky Death Concept Questionnaire, a validated and published interviewing tool, was administered pre and post intervention to all study subjects to evaluate their understanding of death. This intervention was a story on death and a peer group discussion.

Post-test scores were significantly higher than pretest scores for human death concept, and animal death concept, as well as …

Spirituality Of Caregiver Wives Of Dementia Patients, Martha Preston-Devries

Masters Theses

The spiritual perspectives o f 30 caregiver wives of dementia patients and 30 non-caregiver wives were compared using a convenience sample in the Midwest. Spiritual perspective includes behaviors such as praying privately, mentioning spiritual matters to others, and seeking spiritual guidance as well as beliefs such as forgiveness, the belief that spiritual views influence their life, and feeling close to God or a higher power during prayer or worship. The Spiritual Perspective Scale was used to measure spiritual perspective in participants. Scores on the Spiritual Perspective Scale were analyzed for the two groups using the t test for individual variables. …

Quality Nursing Care: The Nursing Home Residents' Perspective, Brenda L. Larsen

Masters Theses

The purpose of the study was to determine what nursing home residents consider quality nursing care. The information obtained can provide nurses with knowledge about quality care perceptions in this population. Care thus could be planned and provided that would promote resident centered quality.

For this qualitative study a phenomenological approach was used. The investigator collected data via audio-taped interviews and field note observations. A grounded theory approach was used to uncover residents' perceptions of quality nursing care. The meaning was then disclosed by the process of description and thematic interpretation.

The shared experience of living in a nursing home …

The Effect Of An Environment Modification On Fear Of Falling In Institutionalized Older Persons, Joann L. Munski

Masters Theses

The purpose of this investigation was to examine the effect of an environmental modification on fear of falling in institutionalized older persons. A pretest-post-test experimental design was used to analyze data collected on 40 residents of a long term care facility. The subjects were randomly assigned to either experimental or control groups. Fear of falling was measured by Dayhoflf Baird, Bennett, & Backer’s Falling Questionnaire (1994). The experimental group received an environmental modification. The Pull, in their living area for six weeks while the control group did not receive any intervention. T-test and analysis of covariance were used to test …

Evaluation Of A Cardiac Home Care Program, Donna Mayo-Rosa

Masters Theses

The purpose of this study was to evaluate the effectiveness of a cardiac home care program in promoting self-care through supportive-educative nursing. Orem's self-care model served as the conceptual model for this study. Self-care was measured in this study by evaluating the patient's level of cardiac knowledge and functional ability.

This study was conducted at a home care agency in Midwest Michigan. A convenience sample of seven was obtained from patients admitted to a cardiac home care program following coronary artery bypass grafting surgery (CABO).

A descriptive design with a one group paired t-test was used to analyze the differences …

Correlation Of Emergency Department Nurses' Beliefs About Wife Abuse And The Use Of Carative Factors In Transpersonal Interactions With Abused Wives, Judith A. Baker

Masters Theses

Emergency department nurses from seven general hospitals were surveyed to elicit information on their beliefs about wife abuse (using the Inventory of Beliefs about Wife-Beating) and their self-reported behaviors with clients who may be physically abused. They were asked about beliefs about institutional and peer attitudes toward caring for abused wives. Information on the nurses’ education about and experience with wife abuse was gathered. Data were summarized to provide descriptive statistics regarding beliefs and behaviors. High levels of caring behaviors were reported. Analysis of correlation between beliefs and behaviors was conducted. Significant findings were correlations between caring behaviors and the …

Emergency Nurse Self Perception Of The Benefit Of The Emergency Nursing Pediatric Course, Diana Lynn Ropele

Masters Theses

This study evaluated whether emergency nurses perceived an increase in knowledge and skill in caring for pediatric emergency patients after taking the Emergency Nursing Pediatric Course (ENPC). Also it evaluated whether non-certified nurses reported a greater increase in knowledge and skill after the ENPC than the certified nurse.

A cross-sectional, retrospective, correlational design was used with a random sample of 333 registered nurses living in Michigan who completed the ENPC in 1995 or 1996. Ninety-three nurses practicing in emergency care returned the demographic sheet and the ENPC perception questionnaire (EPQ).

Analysis compared knowledge and skill scores before and after taking …

A Secondary Analysis Of Self Assessed Assets Of Ninth And Twelfth Grade Students, Carolyn H. Young

Masters Theses

The purpose of this study is to identify the assets possessed by ninth and twelfth graders. This is a secondary analysis of data collected from a survey taken in rural northeastern lower Michigan. This study compared and discussed the similarities and differences in the community, family, and personal characteristics that can be interpreted as assets possessed by these students. Thirty - nine such assets were identified as being possessed by at least one of the student populations. These data can be used to help develop programs which can prevent adolescents from engaging in high - risk behaviors such as early …

A Description Of General Self-Efficacy And Specific Self-Efficacy For Health Promoting Practices In A Disabled Population, Elizabeth M. Carrington

Masters Theses

This study examined disabled persons' self-efficacy in relationship to performance of health promoting practices. A descriptive research design in which questionnaires were administered by interview was utilized. The sample consisted of forty-four disabled adult individuals attending a vocational rehabilitation school. The General Self-Efficacy Sub-Scale (Sherer, et al, 1982) and the Self-Rated Abilities for Health Practices Scale (Becker, Stuifbergen, Oh & Hall, 1993) were administered.

Major findings related to the three research questions were: (a) this sample's Self-Rated Abilities Scores was higher than previously recorded for a comparable disabled population, (b) multiple disabilities had little impact on self-efficacy scores, (c) a …

Rural Women's Participation In Breast Self-Examination, Joni L. Erlewein

Masters Theses

A descriptive, correlation design was used to examine the relationship between the Health Belief Model (HBM) variables and breast self-examination (BSE) in a population of rural women. Champion's HBM Scale (1993) was given at a cancer screening clinic (n=127). The construct validity for this instrument was established by Champion and alpha reliability for subscales ranged from .74 to .91 in this study.

Logistical regression was performed using the HBM variables of perceived susceptibility, seriousness, benefits, barriers, health motivation, and confidence. Barriers and confidence made a significant difference in BSE performance among the subjects in this study.

Women with friend or …

Relationship Between Professional Development And Education, Christine A. Frederick

Masters Theses

Nursing is a profession. It is important for nurses to know what impacts professional development. Educational preparation plays a large role in professional development.

Data were originally collected in 1995 through a survey of nurses from one chapter of Sigma Theta Tau International. The survey was sent to 544 members to determine their scores on professional development. The current study conducted a re-analysis of that data to determine if a relationship existed between professional development and education.

This thesis was based on Leddy and Pepper’s (1993) theory of professional development modified from Eric Erikson’s eight stages of the life cycle. …

Perceived Benefits And Barriers And Mammography Screening Compliance In Women Age 40 And Older, Amy Hoke Vanzee

Masters Theses

The mammography screening guidelines have been vague and differ from recommending organization to organization. Thus it is up to women to make decisions about mammography screening based on their personal health beliefs. This study examined the relationship between perceived benefits and perceived barriers to mammography and compliance with mammography screening guidelines in women age 40 and older. A correlational design was used with a convenience sample of 84 women from two outpatient family practice offices in the suburbs of a mid-western city. The Breast Cancer Screening Behaviors questionnaire created by Victoria Champion in 1995 was used to measure perceived benefits …

Patient Participation In Decision-Making Regarding Post-Operative Ambulation: How It Affects Patient Outcomes, Martha Ann Ruble

Masters Theses

The purpose of this study was to determine the effects of patient participation in decision-making regarding post-operative ambulation on ambulation behaviors, occurrence of post operative complications, and overall satisfaction for patients undergoing bowel surgery. A convenience sample consisted of 39 subjects, aged 20-80, who underwent bowel surgery at a 300-bed medical center in a midwest metropolitan area.

An active negotiated approach to encourage patient participation in decision-making regarding post-operative ambulation was utilized for subjects in the experimental group (n = 19). It was hypothesized that subjects in the experimental group would ambulate farther and more frequently, would experience fewer post-operative …

The Effect Of Discharge Intervention Provided By An Advanced Practice Nurse On The Post-Discharge Self-Care Agency Of Clients Admitted With Congestive Heart Failure, Theresa Dawson

Masters Theses

This study used a quasi-experimental design using a two-group comparison to evaluate the effects of advanced practice nurse interventions on client compliance to self-care regimens (diet, meds, and established appointments). The conceptual framework was based upon Dorothea Orem's Self-Care Model.

This study used the premise of Ashby's (1988) "Self-Care Outcome Measurement" tool to ascertain the frequency of the clients'performance of self-care activities. The frequency was measured using a 4-point summated rating scale. The study site was a 400 bed acute care hospital in Southcentral Michigan. The convenience sample of 10 adult clients with congestive heart failure were interviewed by phone …

Hiv/Aids Patients' Perceptions Of Nurse Caring Behaviors, Jennifer Lynn Jordahl

Masters Theses

The purpose of this descriptive study was to examine which nurse caring behaviors HIV/AIDS patient's perceived as most important. Subjects were recruited from an HIV/AIDS clinic in a large Midwestern city. Twenty-three subjects completed Cronin and Harrison (1988) Caring Behaviors Assessment (CBA) along with a patient demographic questionnaire and an open ended question asking, "Is there anything else a nurse could do to make you feel care for or about? If so what?".

Results of this study suggest that HIV/AIDS patients perceive expressive nurse caring behaviors, such as, listening to the patient, treating the patient with respect, and knowing when …

Behavioral And Emotional Indicators Of Sexual Abuse: A Comparison With Physically Abused And Non-Abused Children, Janine L. Post-Anderle

Masters Theses

The focus of this study was to identify behavioral and emotional symptoms among hospitalized children who were 1)sexually abused 2)physically abused 3)non-abused, and non-hospitalized non-abused children.

Information about children between the ages of 6 and 12 was obtained through a retrospective analysis of 120 closed records from two different child psychiatric hospitals. A convenience sample of 40 parents with non-hospitalized children was used to obtain data about non-hospitalized non-abused children.

The “Child Behavior/Emotion Checklist”, developed by the author, was used to collect data regarding symptoms exhibited by children. Results indicated no difference in symptoms among the hospitalized groups of children. …

Is There A Link Between Hardiness And Burnout In Critical Care Nurses?, Cindy Bilisko

Masters Theses

Hardiness is a set of personality characteristics that function as a resource in coping with stress. Hardiness has been linked with less burnout among various groups. This study was done to determine if there was a relationship between hardiness and the incidence of burnout in critical care nurses. A descriptive correlational design was used to examine this relationship. Critical care nurses at three hospitals in the Grand Rapids area were surveyed using the Staff Burnout Scale for Health Professionals, the Cognitive Hardiness Scale, and a demographics questionnaire. Data were tested using Pearson’s correlation and simple regression. The hypothesis “hardiness in …

Adolescents' Perceived Reasons For Choosing Abstinence Or The Use Or Non-Use Of A Condom During Sexual Intercourse, Susan L. Vrobel

Masters Theses

Adolescents’ perceptions of reasons for abstinence, safer sex, and unsafe sex were investigated. The study used a descriptive design, with a questionnaire administered to 82 Midwestern ninth grade students enrolled in a school health class. From a written scenario describing a couple who are sexually attracted to each other, students were asked to identify reasons the couple might choose to abstain from, or use or not use a condom if they chose to have, sexual intercourse. This study supported earlier research by Keller et al. (1996) which identified four factors perceived by adolescents as contributing to sexual behavior; social norms, …

Evaluation Of The Community Living Adaptation Scale, Jane M. Morris

Masters Theses

The purpose of the study was to evaluate the CLAS. Seventy-three subjects participated from mental health case management agencies. The reliability coefficient for internal consistency o f the CLAS was .82. CLAS was compared to the Global Assessment of Functioning scale using the Pearson’s correlation. Convergent validity was significant to the .36 level indicating a significant relationship at the .01 level. The Self Profile Scale (SPS) was developed by this researcher as a parallel scale to compare the client’s perceptions to the case manager perceptions regarding functional status level. Item to item comparison of the CLAS and SPS indicated similar …

The Effect Prone Positioning Has Upon The Oxygen Ratio Of Ventilated Children, Mary Schira

Masters Theses

The purpose of this study was to examine the effect of prone positioning on oxygen ratios for ventilated children. A retrospective research design was implemented to study the effect that changing ventilated children from the supine position to the prone position had upon their oxygen ratio two hours after the intervention. Twenty-three ventilated children admitted to an eight bed Pediatric Intensive Care Unit (PICU) in Southwest Nfichigan between January 1998 and July 1998 and were proned, had their medical records reviewed. Data analysis using a T-test for paired samples was performed to compare oxygen ratios just prior to proning and …

The Relationship Of Selected Health Beliefs And Exercise Adherence 6-12 Weeks Post Cardiac Event, Kristi L. Bianconi

Masters Theses

The hypothesis tested in this study was: Perceived benefits, barriers, and self-efficacy of individuals who are adherent to a cardiac exercise program will differ from individuals who are non-adherent. The study was a descriptive, correlational design using the Health Belief Model. Data were collected from 25 subjects, recruited from a private cardiology practice who participated in a cardiac rehabilitation program 6 to 12 weeks post hospitalization for a coronary event, defined as angina pectoris, myocardial infarction, coronary angioplasty or stenting, or coronary artery bypass grafting.

Measurement of subject’s responses to perceived benefits, barriers and self-efficacy were collected through mailed questionnaires. …