Nursing Commons^™

Perceived Stressors Between Partnered And Unpartnered Women, Sandra Kay Newman

Masters Theses

The purpose of this study was to compare the differences in stress perceived by healthy partnered and unpartnered women in the second trimester of pregnancy. Neuman's Theory of Stress was used as the conceptual framework to explain the potential for greater perceived stress in unpartnered women during pregnancy. A descriptive correlation study was conducted using Norbeck's (1989) Life Events Questionnaire and Underwood's (1993) Perceived Life Stress Scale II, for a convenience sample of N = 40.; T-tests were used to test the hypothesis that unpartnered women would perceive more stress than partnered women. Mann Whitney U tests were used to …

Perceptions Of Nurse Behaviors By Persons With Copd During Acute Shortness Of Breath, Joyce A. Kowatch

Masters Theses

This study employed a qualitative approach to explore the perceptions of clients with chronic obstructive pulmonary disease recalling nursing behaviors as a part of a process of helping during dyspnea. Grounded theory was used to look at how a client's world was constructed in this particular situation. Examination of data led to the generation of a hypothesis to explain the process of helping. Subjects were asked what it was like when they were extremely short of breath and what nursing behaviors helped or didn't help them.; Identified changes were categorized as suffocation, pain, energy depletion, panic, and cognitive haze. Helpful …

Spouse Adaptation After The Partner's Open Heart Surgery, Marietta J. Gardner

Masters Theses

The purpose of this study was to describe the adaptation of male and female spouses after their partners' open heart surgery using the theory of person as an adaptive system. A descriptive correlational design was used to examine adaptation of male and female spouses to their partners' open heart surgery (criterion variable); and partners' health prior to surgery, length of time partner diagnosed with heart disease, number of years married, and general state of marital relationship prior to surgery as perceived by the spouse were predictor variables. The sample consisted of 20 male and 25 female spouses, 31 to 88 …

The Effect Of Teaching On Knowledge And Osteoporosis Health Beliefs Of Elderly Females, Yvonne M. Van Hoven

Masters Theses

The purpose of this study was to examine the effect of an educational intervention on knowledge, self-efficacy, and health beliefs (susceptibility, seriousness, benefits, barriers, health motivation) related to osteoporosis.; The study was conducted using a pre-test-post-test quasi-experimental design. The sample included forty elderly females of two senior centers in a midwestern metropolitan area. The experimental group was composed of twenty subjects from a senior center. The remaining twenty subjects from a second senior center were included in the control group. Osteoporosis knowledge, self-efficacy, and health beliefs were measured before and after factual information about osteoporosis was given to the experimental …

Mathematical Calculations Ability Of Registered Nurses, Denise M. Deitzen

Masters Theses

Medication errors occur throughout health care settings. These errors can be caused by a multitude of factors, one of the most important being mathematical calculation. The purpose of this study was to replicate an earlier study by Bindler and Bayne (1991) examining the mathematical calculation ability of registered nurses. Utilizing a model of skill acquisition suggested by Dreyfus and Dreyfus (1980) and applied to nursing by Benner (1986), it was hypothesized that years of experience and frequency of calculation would have a significant interactive effect on the score of a medication calculation test.; A descriptive correlational design was utilized. A …

Nurses' Performance Of Breast Self-Examination, Anne M. Bauer

Masters Theses

A descriptive, correlational design was used to examine the relationship between the Health Belief Model (HBM) variables and breast self-examination (BSE) in a registered nurse population. Champion's HBM Scale (1987) was mailed to a random sample of RN's in one midwestern county (N = 107). Construct validity for the instrument was established by Champion and alpha reliability rating for subscales ranged from.73-.96 in this study. The primarily Caucasian, ADN and diploma educated sample varied in age from 20 to over 60 years (median age = 41-50).; Less than half (48%) of the subjects reported monthly BSE. A stepwise multiple regression …

Clients' Perceptions Of Preparedness For Discharge Home Following Total Hip Or Knee Replacement Surgery, Cindy H. Nicholson

Masters Theses

This study used a descriptive design to evaluate discharge planning by examining the clients' perception of preparedness for discharge home following total hip or knee replacement surgery. The conceptual framework was based upon the Betty Neuman Systems Model.; This study used Lawton's (1991) "Discharge Preparation Questionairre" to ascertain the clients' perceptions of preparedness in 10 discharge categories. Perceived preparation was measured using a 5 point summated rating scale. The study site was a 42-bed orthopedic unit in a 119 bed acute care hospital in Southeast Michigan. The convenience sample, of 46 adult clients, were interviewed by phone 3 days following …

Symptoms And Self-Concept Alterations With And Without Cognitive Rehabilitation 2 - 5 Years After Mild Traumatic Brain Injury, Rebecca H. Veltman

Masters Theses

This study examined adaptation in physical symptoms, role functioning, and self concept 2-5 years after mild traumatic brain injury (MTBI). The effects of outpatient cognitive rehabilitation were also analyzed. Roy's Adaptation Model provided a framework for this study. Subjects (n = 164) were surveyed about role function, physical post-concussion symptoms, and self concept. Sixty-six subjects returned the completed survey. Subjects reported problems with memory (33%), tiredness (29%), depression (27%), and concentration (26%). The number of new symptoms and the social score were inversely related (r = {dollar}-{dollar}.5854, p =.001). Self Concept as measured on the Tennessee Self Concept Scale (TSCS) …

What Is The Relationship Between Personality Hardiness And Burnout In Army Reserve Nurses?, Nancy M. Marchido

Masters Theses

Kobasa's conceptualization of personality hardiness provided the theoretical framework examined. The purpose of this study was to examine the relationship between personality hardiness (control, commitment, and challenge) and burnout in Army Reserve nurses. Data was obtained through a survey of forty Army Reserve nurses in the midwest area using Kobasa's Hardiness Scale and Jones' Staff Burnout Scale for Health Professionals. The subjects were primarily female (75%) and Caucasian (90%), with a bachelor of science degree or higher. A moderately strong inverse correlation was found (r = {dollar}-{dollar}.52, df = 35, p {dollar}<{dollar}.001). The validity and reliability were supported, however, the dimension of challenge was not related to burnout. Control and commitment correlated with burnout (r = {dollar}-{dollar}.61, r = {dollar}-{dollar}.57 respectively). Findings suggest that personality hardiness provides a resistance source in the perception of adverse job stressors, thus preventing or reducing burnout in nurses.

Professional Inter-Rater & Client Self Report Reliability Of The Environmental Section Of The Functional Assessment Of The Elderly, Stacie J. Bronkema, Amy M. Haan, Julie L. Johnston

Masters Theses

Health care needs of the growing elderly population place a great demand on the health care system. Information regarding a client's function is essential in geriatric care. Therefore, continuing research to develop reliable functional evaluation tools is imperative. One functional evaluation tool available to health care professionals is Functional Assessment of the Elderly (FAE). The purpose of this study is to examine the professional inter-rater and client self report reliability of the environmental section of FAE.; A random sample of 18 subjects was obtained. Subjects were required to be age 60 and older, and clients of the West Michigan area …

The Health Belief Model And Drinking And Driving, Teresa Ellen Tucker

Masters Theses

The purpose of this study was to identify differences in health beliefs of individuals convicted of driving under the influence of alcohol (DUI) with a history of an alcohol-related MVC and individuals convicted of DUI with no such MVC history. The Health Belief Model variables include seriousness, susceptibility, benefits, barriers and health motivation. It was hypothesized that health beliefs of individuals convicted of DUI and with a history of an alcohol-related MVC would be different from individuals convicted of DUI but with no such MVC history. A demographic assessment tool and Health Belief questionnaire designed for this study were used …

Retention Of Registered Nurse Employees In Rural Community Hospitals Less Than 100 Beds, Joanne Urbanski

Masters Theses

Maintaining a stable nursing staff is critical to the effective operation of hospitals, therefore chief nurse executives must not lose sight of the importance of retention efforts. The purpose of this study was to identify factors that maintain or increase job satisfaction among registered nurses working in small, rural hospitals, thereby, motivating them to remain in a rural hospital practice setting. Four hundred and twenty-seven job satisfaction surveys were mailed to 13 rural community hospitals that had less than 100 beds. Two hundred and twenty completed surveys were returned (52%).; Sociodemographic characteristics of short-term (less than one year) and long-term …

Mothers' Information Needs And Perceptions Of Preparedness For Self-Care And Infant Care After A Short-Term Hospital Stay, Donna M. Paulsen

Masters Theses

Based on Orem's Theory of Self-Care, this descriptive study compared the information needs and perceived preparation of self and infant care for 22 primiparous and 36 multiparous women. A convenience sample of women experiencing a short-term (24 Hour) hospital stay responded to a structured questionnaire. Preparation was measured using Degenhart-Leskosky's (1989) modification of Howard and Sater's (1985) tool. Content validity was established in the original study. The majority of the women perceived themselves to be well or very well prepared for self-care (87%) and infant care (78%). Multiparas perceived themselves to be significantly better prepared for self-care (U = 256.5, …

Nurses' Knowledge And Attitude Related To Organ Donation, Maureen E. Bishop

Masters Theses

Nurses today are caring for a wide array of patients that may include potential organ donors or organ transplant recipients. The purpose of this descriptive correlational study was to explore the knowledge nurses possess and the attitude they hold regarding organ donation, using Jean Watson's theory of human caring as the conceptual framework.; A convenience sample of approximately 200 registered nurses in a 300-bed medical center, that does not have an organ transplant program was surveyed. The knowledge level had a mean score of 6.69 with a possible high of 11. This suggests that the knowledge level of the registered …

Perceived Stress Levels Of Registered Nurses Employed In Medical-Surgical And Critical Care Units, Karen Snyder Keese

Masters Theses

The purpose of this research was to compare perceived stress levels of registered nurses employed in medical-surgical units to perceived stress levels of registered nurses employed in critical care units. A descriptive, correlational study was conducted using Wolfgang's (1988) Health Professions Stress Inventory. Perceptions of stress were measured and related to specialty, years of experience, years of nursing education, hours worked per week, and shift worked. A convenience sample of 102 registered nurses from two midwestern hospitals participated by a self administered questionnaire. Study findings included: medical-surgical nurses perceived significantly higher levels of stress than critical care nurses; stressors for …

Effects Of Nurse Extern Programs On Student Nurse Performance, Lola A. Coke

Masters Theses

This study was done to determine if summer nurse extern programs increased the nursing performance of student nurses. The conceptual framework for the study was developed from Benner's (1984) "From Novice to Expert". Forty-five students from six hospital based nurse extern programs in Southwestern Michigan participated in the study. A pretest-posttest design was used. Schwirian's (1978) Six Dimension Scale of Nursing Performance was used to measure six nursing performance sub scales: leadership, critical care, professional development, teaching/collaboration, planning/evaluation, and interpersonal relations/communication. Frequency and quality scores were obtained for each behavior. It was hypothesized that an increase in both frequency and …

The Impact Of Demographic Variables On Views About Nursing As A Profession, Sandra Kaye Fatum

Masters Theses

Understanding the impact of demographic variables on views about nursing will provide essential knowledge for nursing. This study evaluated the possible impact of demographic variables on the individual's view of the nursing profession. The sample was beginning students, senior students, recent graduates, and faculty from traditional and unified bachelor programs utilizing data from Setter-Kline's (1990) study. A significant difference was not found between the demographic variables of marital status (F = 2.248, df = 4, 463, p =.0630), role model (F =.653, df = 2, 37, p =.5263), and basic faculty preparation (F =.666, df = 4, 81, p =.6176) …

Educational Preparation And Clinical Experience As Variables In Moral Judgement Development Of Staff Nurses, Jacquelyn A. Keehne

Masters Theses

The purpose of this study was to compare moral judgement development levels of staff nurses with diverse levels of educational preparation and different lengths of clinical experience. Kohlberg's theory of moral development served as the theoretical basis for this descriptive correlational study. The Judgements About Nursing Decisions (JAND) was used to measure moral judgement in this study. The subjects (N = 115) were practicing staff nurses in the clinical areas of orthopedics, oncology, medical/surgical care, cardiac care/telemetry, and intensive care services. Varying lengths of clinical experience were reported and the majority recorded a Bachelors Degree in Nursing (BSN) as their …

Life Satisfaction Of Persons With Chronic Obstructive Pulmonary Disease, Dennis A. Bertch

Masters Theses

The purpose of this study is to describe the adaptation of persons with Chronic Obstructive Pulmonary Disease on continuous nasal cannula oxygen using a self-reported assessment of life satisfaction tool. The Roy Adaptation Model provided the conceptual framework to describe perceived life satisfaction considering the effects of gender, age, race, education, marital status, employment status, length of time on nasal cannula oxygen, and amount/liter flow of oxygen.; A convenience sample of 56 persons was obtained through a medical supply company that services most of southwest Michigan. The majority of respondents (56.6%) were satisfied with life. No significant differences were reflected …

An Investigation Of Stress And Burnout In Hospital Registered Nurses, Ellen Nora Hale

Masters Theses

This study investigated job stressors and burnout among hospital registered nurses and was based on a systems theory model in which inputs and throughputs interact to effect outputs. Job stressors were measured using the Job Stress Questionnaire (JSQ). Top-ranked stressors included heavy work load, insufficient resources, and inability to satisfy conflicting demands. Burnout was measured using the three subscales (emotional exhaustion, depersonalization, and personal accomplishment) of the Maslach Burnout Inventory. Based on multiple regression analyses, total JSQ scores accounted for 21% of the variance in emotional exhaustion scores. Together, years of experience and an education level of BSN or BA …

Hardiness And Its Relationship To Anticipatory Nausea And Vomiting Experienced By The Patient Receiving Cisplatin Chemotherapy, Colleen K. Smith

Masters Theses

Research suggests that the hardiness characteristic acts as a buffer in the stress/illness relationship. The purpose of this study was to assess the presence of hardiness and examine its relationship to the amount of anticipatory nausea and vomiting experienced within a sample of patients receiving cisplatin chemotherapy. It was hypothesized that individuals with a high level of hardiness would experience less anticipatory nausea and vomiting than individuals with a low level of hardiness.; A prospective descriptive correlational design was utilized. A convenience sample of adults with cancer (n = 29) receiving cisplatin intravenously was studied. All patients were assessed via …

Health Value And Health Locus Of Control: Impact Upon Compliance In Cardiac Patients, Laura C. Wightman

Masters Theses

The purpose of this study was to examine the relationship of an individual's locus of control and health value to compliance to the prescribed rehabilitation regimen among post myocardial infarction and post cardiac surgery patients. Forty subjects were used in an ex post facto research design. The Multidimensional Locus of Control scale, the Value Survey, and a demographic data instrument were administered 1 to 2 days prior to discharge from the hospital. Thirty days after discharge the subjects completed the Health Behavior Scale.; It was hypothesized that male cardiac patients with an internal locus of control were more compliant to …

Relationships Between Caregiver Satisfaction With Hospice Nursing Care And Selected Demographic Variables, Kathleen F. Nyeste

Masters Theses

A descriptive correlational retrospective survey of caregivers of hospice patients was used to determine the degree of caregiver satisfaction with hospice nursing care and to examine the relationship between satisfaction with nursing care and selected caregiver demographic variables. A random sample of 180 caregivers from 12 randomly selected home based hospices in Michigan's lower peninsula was surveyed utilizing the Revised La Monica/Oberst Patient Satisfaction Scale and a Caregiver Demographic Sheet. Response rate was 63% (N = 114) with 56% (N = 100) of forms usable for data analysis.; The mean satisfaction score was 332 (possible range 51 to 357), indicating …

Maternal Adjustment To Premature Birth: Utilizing The Roy Adaptation Model As A Theoretical Framework, Ivy Razmus

Masters Theses

The purpose of this study was to ascertain whether the adjustment for primiparous mothers of preterm infants was less positive than for primiparous mothers of term infants utilizing the Roy Adaptation Model as a conceptual framework. This secondary analysis utilized data from a larger longitudinal study. The data was collected at three months post birth in the homes of the mothers. The sample consisted of 55 preterm and 46 full term mothers. The Affects Balance Scale (Derogatis, 1983) was used to measure adjustment. A significant difference was found between preterm and full term mothers on the Positive Affects Scale and …

A Descriptive Correllational Study Of Patient Satisfaction In Labor And Delivery, Holly B.O. Estes

Masters Theses

The concept of patient satisfaction continues to be one of the main concerns in the health care arena today. The purpose of this study was to investigate patients' perceived satisfaction level regarding their labor and delivery at one large Midwestern teaching hospital.; Satisfaction was measured using the Labor and Delivery Satisfaction Index by Lomas, Dore, Enkin, & Mitchell, and the Labor and Delivery Evaluation Scale by Humenick. Roy's Adaptation Model provided the conceptual framework for this study. The study sample was 33 primiparas, seventy-six percent reporting overall satisfaction with their labor and delivery experience.; Sixty-one percent reported the labor and …

Coping With Multiple Roles, Deborah J. Laughlin

Masters Theses

Women in increasing numbers have been combining career and family. Balancing the multiple roles may be stressful at times. The purpose of this study was to examine how different stressors influence a woman's ability to utilize coping responses. This study examined the relationships between situational variables and a nurse's ability to cope with multiple roles. The situational variables studied were: age, educational level, number of hours worked, job type, number of children, ages of the children, view of nursing, husband's agreement with the wife on the number of hours worked, and satisfaction with child care. The survey tool, the "Coping …

Relationship Of Patient Age To Amount Of Postoperative Analgesic Prescribed And Administered, Beth Lee Sendre

Masters Theses

The purpose of this study was to determine if elderly patients receive less analgesic than younger patients postoperatively and if that reduction in analgesia results from the physician's order, the administration, or both. Hospital records of 161 females with abdominal surgery were reviewed to collect data. The sample was divided into 6 age groups. The findings did not support with increased age from 25 years, less analgesic medication was prescribed for the first and second 24 hour period postoperatively (p {dollar}>{dollar}.05). The findings indicate, as age increased from 25 years, less analgesic medication was administered in the first 24 …

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 …

Derivation And Testing Of Tenets Of A Theory Of Social Organizations As Adaptive Systems, Louette R. Johnson Lutjens

Peer Reviewed Articles

Management and organizational theories are commonly used to design nursing administration studies. This article proposes a nursing theory as a viable alternative and demonstrates its utility in the conduct of nursing administration research. The purpose of the research was to determine the explanatory power of the environmental stimuli of medical condition, nursing condition, nursing intensity, and medical severity on length-of-stay (LOS). Twenty-three percent of the variance in LOS was accounted for by the environmental stimuli with nursing acuity contributing 14%. The focal stimulus, medical condition (diagnosis-related groups), uniquely explained only one percent of the variance. The theory of social organizations …

Faculty And Student Perceptions Of Effective Clinical Teachers: A Replication, Kathleen L. Miller

Masters Theses

Clinical teaching in nursing has been found to be as problematic as it is in other practice-oriented professions. The purpose of this study is to identify student's and faculty's perceptions of effective characteristics of clinical teachers. An anonymous questionnaire was distributed to students and faculty at a university college of nursing in western Michigan to solicit their perceptions. The study data reveal both similarities and differences in their perceptions and raises awareness of how clinical teachers need to be atune with nursing student's learning needs and learning styles. Comparison of this study with the previous studies show a common direction …