Nursing Commons^™

A Description Of The Health Beliefs And Skin Cancer Prevention Practices Of Michigan Farmers, Denise Ann Coats

Masters Theses

The purpose of this study was to examine the skin cancer knowledge, health beliefs, prevention practices and cues to action o f a sample of Michigan farmers. A sample o f 106 randomly selected male farmers responded to a mailed questionnaire comprised of 40 items measuring variables of the Health Belief Model and demographic information.

The farmers spent an average of 4.05 hours in the sun each day between 10 a.m. and 3 p.m., and an average o f 45.13 years living and/or working on a farm. They were quite knowledgeable about skin cancer (M = 77% correct), but most …

Importance And Fulfillment Of Family Needs In The Icu, Linda L. Baker

Masters Theses

The family is a major source of support for the intensive care patient. To provide optimal support to the patient the family’s needs must be met. A convenience sample of thirty family members of intensive care patients were interviewed. The continuing importance of primary needs established in previous studies was demonstrated. None of the needs were universally perceived as being fulfilled. The nurse was most often cited as the best person to meet needs. Many respondents couldn’t choose a single best person emphasizing the need for a multi disciplinary approach to meeting needs. Seven additional needs were identified (a) to …

Humor And Its Relationship To Cohesion Of Work Group Members In The Acute Care Setting, Marla J. Niedzwiecki

Masters Theses

The purpose of this study was to determine whether the relationship between the use of humor and cohesion of work groups. It was hypothesized that individuals with a high value and use of humor to cope would have a tendency to use humor with others. Additionally, groups with more members who value and use humor to cope would exhibit more group cohesion than groups consisting of members with minimal or no humor use. A descriptive correlational design was used. A convenience sample of hospital based staff nurses was studied. The participants completed three surveys measuring individuals’ use of humor to …

Nurses' Beliefs And Perceptions About Children In Pain, Patricia A. Gorney

Masters Theses

The purpose of this study was to examine nurse's beliefs and perceptions of children in pain amongst nursing personnel employed in Northwestern Michigan, and to determine if a relationship existed between nursing education, age and years experience in nursing, and the scores on the Beliefs and Perceptions Scale. The sample consisted of 74 registered and licensed practical nurses in the area working in acute and ambulatory settings. Data collected was analyzed using Pearson's Correlational Coefficient. The Roy Adaptation Model served as a framework for the study.

No significant correlation was found to exist between the participant's age, years of nursing …

Patient Perceptions Of Nurse Behaviors As Indicators Of Caring, Susan B. Tuttle

Masters Theses

The purpose of this study was to identify which nursing behaviors were perceived by the patient who has undergone coronary artery bypass grafting (CABG) as the most important and least important indicators of caring. In this descriptive study, the Caring Behaviors Assessment (CBA) was administered to 25 CABG patients. This research was a partial replication of a previous study by Cronin and Harrison (1988).

Jean Watson's theory of human care (1985) served as the theoretical framework for this study. The CBA items, ordered in seven subscales, are congruent with Watson's (1985) carative factors.

In this study, the 63 CBA items …

The Relationship Between Level Of Knowledge And Instruction On Sublingual Nitroglycerin Use In Cardiac Patients, Nancy Jean Rogers

Masters Theses

The purpose of this study was to investigate patients’ level of knowledge of the use of sublingual Nitroglycerin (SL NTG) after receiving individually tailored pre-discharge instructions. The study tested the following hypothesis. There will be a difference in the knowledge level between patients who receive the usual SL NTG hospital teaching and those who receive individually tailored and structured SL NTG teaching. The study utilized a pretest-posttest comparison group design with a convenience sample of 40 patients admitted to a rural 368 bed hospital. Knowledge levels were not significantly higher for those in the intervention group than for those in …

Health Beliefs And Adherence To Cardiac Exercise Following A Cardiac Event, Vince Worthington

Masters Theses

The purpose o f this study was to examine the relationship between health beliefs and adherence to cardiac exercise at eighteen to twenty four months post cardiac event. Ninety subjects participated in a study by Foster (1995) and McGinn (1995), examining the relationship of health beliefs and adherence to cardiac exercise six to eight weeks post cardiac event. This study contacted the same sample at eighteen to twenty four months post cardiac event. Thirty five subjects responded to a mailed questionnaire measuring perceived benefits, perceived barriers, self-efficacy, adherence to exercise, and demographic information.

Descriptive analysis of the data was conducted …

The Relationship Between Organizational Climate In The Hospital And Rn Satisfaction, Dawn R. Shoemaker

Masters Theses

The purpose of this study was to explore the relationship of organizational climate in the hospital and RN satisfaction. This study examines the hospital work climate and how it affects the level of quality of care, cost-efficiency, and job satisfaction. A meta-analysis (Irvine & Evans, 1995) with Maslowian underpinnings as the basis of the conceptual framework of job satisfaction and organizational climate was used in this study. A secondary analysis was preformed on previously obtained data from a large scale database (n=330 registered nurses). This descriptive correlational study utilized two main instruments, both of which were modified for this study; …

The Relationship Between Spirituality And Depression In Family Caregivers Of The Elderly, Mary Jean Chappel

Masters Theses

The purpose of this study was to examine the relationship between spirituality and depression in family caregivers of the elderly. This study sought to test the following hypothesis: The level of spirituality will be negatively correlated with the level of depression for family caregivers of the elderly. A descriptive, correlational design utilizing Neuman's wholistic system theory was used with a convenience sample of 44 family caregivers aged between 32 and 88 years. Self-reporting questionnaires were mailed to clients (identified as caregivers) of a home care agency, a caregiver respite program, and a Parkinson's support group all providing services in Northern …

Self-Diagnosis And Self-Treatment Behaviors In Registered Nurses, Margaret M. Hatfield

Masters Theses

This is a descriptive correlational study to determine the prevalence of types of self-diagnosing and self-treatment (SD/ST) behavior in registered nurses and how this may influence their use of a primary care provider. It is modeled after a study of this behavior in physicians by Cockerham, Creditor, Creditor, & Imrey (1980). Multiple choice SD/ST responses were made to 13 acute, self-limiting symptom scenarios by a random sample of registered nurse (n = 101). The response choices were grouped as; (1) non-physician dependent (NPD), e.g. treat symptoms with over-the-counter drugs, (2) traditional physician-dependent (TPD): sought care of regular primary care provider, …

Differences Between The Attitudes And Behaviors Of Oncology Nurses: Inclusion Of Sexuality Concerns As A Component Of Care, Mary Diane Ashley

Masters Theses

This was an exploratory descriptive study. The "Wilson and Williams Sexuality Survey" (1988) was used with revisions to include a definition of sexuality. The sample consisted of 109 oncology nurses who care for adult oncology clients from five Midwestern institutions. There was a significant difference in attitudes and behaviors of oncology nurses regarding sexuality as a component of care (t = -.53.96; d.f. = 109; p =0.00). It was expected that positive attitudes would yield more behaviors, this was not the case. However, a moderately strong relationship was found between the attitudes and behaviors (r = .6088; p = 0.00). …

Vocational Interest Profiles Of Critical Care Registered Nurses, Julene Beth Hannink

Masters Theses

The purpose o f this investigation was to obtain descriptive data regarding the vocational interest profiles o f a population o f currently employed critical care registered nurses. John L. Holland’s Theory o f Careers, which was used as the theoretical fi’amework, describes six major types or characteristics o f vocational personalities: Realistic (R), Investigative (I), Artistic (A), Social (S), Enterprising (E) and Conventional (C). A vocational interest assessment tool, the Vocational Preference Inventory (VPI) was used to determine a given individual’s vocational interests, with results recorded as a three letter profile.

A convenience sample was obtained from the critical …

Caring Behaviors In The Emergency Department: Perceptions Of Patients And Nurses, Marcia Moerman

Masters Theses

Caring is recognized as an essential element in the definition of nursing. The purpose of this research study was to identify and compare the perceptions of caring behaviors held by patients in the emergency department with Registered Nurses who practiced in the same department.; Two questionnaires were used to obtain data. The first was an instrument listing 30 caring behaviors. The responses were listed by mean for the patient group and the nurse group. The Mann-Whitney U test was used to test the magnitude of the difference between the two groups. The second was a demographic questionnaire describing characteristics of …

Contributing Factors In Medication Nonadherence In Schizophrenic Clients: A Descriptive Study, Sharron E. Howarth

Masters Theses

Medication nonadherence in schizophrenic clients is a major issue for psychiatric nurses. The purpose of this descriptive study was to explore factors identified by the schizophrenic client and the client's primary nurse that contribute to medication nonadherence. The Health Belief Model and Peplau's Model were the theoretical frameworks used. The sample included 20 schizophrenic clients with a history of medication nonadherence and 20 primary psychiatric registered nurses.; Face-to-face interviews using the Compliance Interview Questionnaire were conducted with the psychiatric client and the primary nurse. Results indicated a difference between nurses' and clients' perceptions of the reasons for medication nonadherence. Most …

Validation Of The Neonatal Infant Pain Scale, Annette L. Backus

Masters Theses

The purpose of this study was to validate the Neonatal Infant Pain Scale (NIPS). This was accomplished by determining inter-rater reliability, the ability to measure pain in infants of any gestational age, and the relationship between the NIPS behavioral scores and physiological parameters of heart rate, respiratory rate and oxygen saturation.; Inter-rater reliability on total scores obtained before, during and after the procedure yielded correlations ranging from 0.69 to 0.90, which were significant at p {dollar}<{dollar}.001. All groups showed significant increases in NIPS scores after a painful procedure was started. Total mean scores before, during and after a procedure were 0.44, 3.04 and 0.6 respectively. There were no significant correlations between NIPS scores and heart rate, respiratory rate or oxygen saturation.; The NIPS appears to be a reliable tool for evaluating pain in neonates of any gestational age. Physiological measures were not reliable indicators of pain in neonates.

Knowledge, Sources Used And Factors Considered In The Surgical Treatment Decisions Of Women With Breast Cancer, Debra J. Bisel

Masters Theses

The purpose of this replication study was to examine how women with breast cancer reached their decision for surgical treatment (Ward, Heidrich and Wolberg 1989). Twenty-one women who met the surgical criteria, i.e. option for Breast Conserving surgery or Modified Radical Mastectomy, completed four surveys 1 to 7 days post operatively. The women were divided into two groups, 13 who had Breast Conserving surgery and 8 who had Modified Radical Mastectomy. The surveys assessed demographic characteristics of the groups, the level of knowledge regarding breast cancer, factors considered important in reaching the decision for surgery and the sources of information …

Intuition And The Decision Making Process Of Expert Critical Care Nurses, Kelley A. Hempsall

Masters Theses

The purpose of this study was to examine the role of intuition and the decision making process of expert critical care nurses in providing health care for hospitalized patients. A descriptive correlational design was employed using a non-probability convenience sample of 172 registered nurses working in critical care areas. Data were obtained by a questionnaire developed by the researcher. Ninety five nurses (55.2%) responded. Data analysis included a comparison of the relationship of expert nurses' (n = 49) total scores and the total scores of the non-expert nurses (n = 46). No statistically significant difference was found in either the …

Role Clarification And The Myocardial Infarction Patient's Primary Support Person, Susan L. Dunn

Masters Theses

The purpose of this study was to evaluate the effectiveness of role clarification in reducing anxiety of the myocardial infarction patient's primary support person (PSP). A quasi-experimental design was utilized. A nonprobability convenience sampling method produced a sample of 31 experimental and 38 comparison subjects. During the patient's hospitalization a pretest was given and the experimental group attended a role clarification session. Posttesting was done three weeks later. Both groups had higher trait and state anxiety levels than the norm at pretest and posttest. It was hypothesized that the experimental group would have lower posttest state anxiety levels. This was …

Crisis Anticipation, Janet A. Tucker

Masters Theses

This study builds on two qualitative studies, one by Smith (1988) and one by Rew (1988a) which investigate the characteristics of crisis anticipation as defined by critical care nurses. A convenience sample of critical care nurses from three Midwestern hospitals was shown a random ordered list of thirty characteristics of crisis anticipation identified in the Smith (1988) and Rew (1988a) studies. The nurses scored each characteristic on importance to the concept of crisis anticipation. Nurses were divided into two groups by experience level, and group scores for each characteristic were developed using the Fehring (1986) technique. Group scores were compared …

Relationships Among Role Strain, Hardiness, And Academic Achievement, Evelyn Clare Rutlin

Masters Theses

The purpose of this study was to determine the relative importance of role strain versus that of hardiness in predicting academic achievement in first semester female ADN students. A convenience sample of 61 students from Lake Michigan College in Benton Harbor, Michigan, participated in the study.; The Lengacher Role Strain Inventory and the Cognitive Hardiness Scale were used to assess role strain and hardiness. Academic achievement was determined by the grade received in the nursing fundamentals course.; Correlation coefficients were used to determine correlation among the variables. Multiple regression analysis was used to explain the variance. Neither role strain nor …

Analysis Of The Relationship Between Initial Neurological Status And Adaptation Following Traumatic Brain Injury, Margaret D. Carriker

Masters Theses

Trauma is a major cause of death and disability in the United States. Approximately 4% of victims incur life-long debilitating alterations in physical and personal integrity. The purpose of this study was to determine the relationship between initial neurological status following traumatic brain injury and adaptation. The study used a retrospective single group repeated measures design. Subjects were patients admitted to an acute care rehabilitation program and completed in patient and outpatient rehabilitation regimes (N=49). All had traumatic brain injuries with Glasgow Coma Scale Scores documented on admission to acute inpatient hospitalization. The Glasgow Coma Scale was used to assess …

Nurses' Perceptions Of The Profession Of Physical Therapy In The Inpatient Setting, Sharon Vanmullekom, Joanne Childs

Masters Theses

The purpose of this study was to investigate the interprofessional relationship that exists between nurses (RNs) and physical therapists (PTs) as perceived by RNs in the inpatient setting. A questionnaire, the Interprofessional Perception Scale, (Ducanis & Golin 1978) was modified and sent to 230 day shift nurses who have contact with PTs at four West Michigan hospitals. Forty-five percent of the surveys were returned. RNs responded to the following questions regarding the nursing and physical therapy professions: how would you answer; how would PTs answer, and how would PTs say that you answered, for 15 interprofessional issues. Differences between how …

Nurses' Verbal Responses In Four Types Of Client Situations, Ann V. Dilbeck

Masters Theses

The purpose of the study was to determine to what degree nurses vary in their utilization of empathy when responding to patients experiencing different types of physical and emotional discomfort. Nurse participants ({dollar}N = 32{dollar}) worked primarily in a hospital setting. They were administered the Behavioral Test of Interpersonal Skills and responded to videotaped vignettes. Actors portrayed patients exhibiting pain, anxiety, depression, or anger. "Feeling", "Content", or "Don't Feel" were the three categories scored. "Don't Feel" responses negate or suppress patient's feelings.; A chi-square was done to compare "don't feel" responses to all other responses. "Don't Feel" responses were generally …

Perceived Barriers And Perceived Motivators To Receiving Prenatal Care, Christine M. Davis

Masters Theses

The Health Belief Model served as the conceptual framework for this retrospective descriptive study that identified women's perceived barriers and perceived motivators to obtaining prenatal care. A 50 item questionnaire, including both forced-choice and open-ended questions, was administered to 29 women who had delivered a healthy infant within the previous 6 to 8 weeks. The sample was predominantly white (82.2%), {dollar}>{dollar}19 years of age (62.1%), single (62.1%), unemployed (51.7%), and receiving Medicaid insurance (69%). Univariate statistics were calculated for each item. Each item was then compared to the timing of the start of prenatal care. The most important motivators …

A Study Of The Leadership Practices Of The First Line Nurse Manager, Deborah L.P. Cress

Masters Theses

There is a need for nursing leaders to understand the practices of effective leaders in order to become extraordinary leaders themselves and positively impact the future of healthcare. A descriptive correlational research design was used to examine the relationship between the self assessment and the subordinate's assessment of the leadership practices of the first line nurse managers. The data were collected from a 420 bed midwest community teaching hospital. The data consisted of 84 managers and subordinates who responded to the Leadership Practices Inventory tool. The study revealed that the managers moderately performed the leadership practices. A significantly positive relationship …

Social Support And Adaptation To Disability, Deborah J. Russell

Masters Theses

Based on Roy's Model of Adaptation, this study examined the relationship between social support and functional independence following hip fracture. A descriptive correlational design was used with a convenience sample of 29 women age 65 and older. The Personal Resource Questionnaire was used to measure social support and the Functional Independence Measure was used to measure locomotion as an aspect of physical function.; Data indicated that women who had higher levels of functional independence one week following hip fracture had higher levels of social support. However, this difference was not statistically significant. The hypothesized relationship between social support and functional …

The Effectiveness Of Viewing The "Life After Brain Injury" Video Tape By Family Caregivers, Nan Meyers

Masters Theses

Family caregivers readily identify the physical signs of brain injury but the cognitive dysfunction and behavioral change symptoms are less easily recognized. Families need to be knowledgeable about brain injury and how to manage its symptoms. Nurses are in the unique position to provide brain injury education for family caregivers early in the acute hospitalization. This study replicated the works of Sanguinetti and Catanzaro (1987) and Pardee (1993).; Statistical comparison of pretest and posttest knowledge and the pretest and posttest application scores were used to evaluate the effectiveness of family caregivers' ability to apply learned information about brain injury and …

A Comparison Study Of Emergency And Medical/Surgical Registered Nurses' Understanding Of Pain And Its Management, Jo A. Oborski

Masters Theses

This replication study was designed to compare emergency and medical/surgical registered nurses' actual and perceived knowledge of the pharmacological and nonpharmacological aspects of pain and its management. A modification of the original tool that consisted of a combination of multiple choice, short answer and open-ended questions was utilized. A convenience sample representing beginner and expert medical/surgical and emergency nurses was obtained.; No difference was found between specialty or experience and current pain knowledge. All participants functioned at a similar level. Participants were unable to describe basic terms related to current pain theory and therapy. The only significant difference identified between …

Basic Needs Satisfaction And Social Support In The Adult Trauma Victim, Gail A. Mercer

Masters Theses

Traumatic injury prevention and treatment is an increasingly important focus for the nursing profession as trauma tops the list for causes of death among young people in the United States. The specific purpose of this study was to explore whether a pre-existing state of low basic need satisfaction and low social support contribute to traumatic injury in adults. A descriptive correlational design was used. The theoretical frameworks of Erickson, Tomlin, and Swain (1983) and Lazarus (1964) formed the foundation for this study. Two survey tools were employed, the Basic Need Satisfaction Inventory (Kline Leidy, 1994) and the Personal Resource Questionnaire …

The Effect Of Early Nursing Intervention On Chemotherapy-Induced Fatigue, Jennifer A. Shane

Masters Theses

Chemotherapy-induced fatigue is a common side effect for cancer patients. This experimental study attempted to identify the effects of an early nursing intervention designed to facilitate adaptation to chemotherapy-induced fetigue. Roy’s Adaptation Model was the conceptual framework. A convenience sample (n=49) was randomly assigned to experimental (n= 16) and control (n=19) groups. Each group completed the Piper Fatigue Scale (PFS) during cycle one of chemotherapy. The control group received the standard teaching regarding 6tigue. The experimental group received additional instruction about fatigue. Both groups completed the PFS again during the third chemotherapy cycle (2-3 months later). No significant differences between …