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Articles 511 - 540 of 574
Full-Text Articles in Nursing
The Effects Of Prenatal Breast-Feeding Class On Breast-Feeding Success And Maternal Perception Of The Infant: A Replication, Eileen Grunstra, Susan Rowe
The Effects Of Prenatal Breast-Feeding Class On Breast-Feeding Success And Maternal Perception Of The Infant: A Replication, Eileen Grunstra, Susan Rowe
Masters Theses
The purpose of this study was to determine the effectiveness of prenatal breast-feeding education on a mother's perceived success at breast-feeding. This study also looked at the relationship of prenatal breast-feeding education on a mother's perception of her infant. The conceptual framework utilized was the Roy Adaptation Model. Motherhood and breast-feeding involve a change in role, which is why this theory served as a foundation for the study. The method for study was a quasi-experimental design. Subjects in the experimental group attended a prenatal breast-feeding class, those in the control group did not. In addition to a general survey questionnaire, …
A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema
A Comparison Of Critical Thinking Ability And Clinical Judgement Skills In Associate And Baccalaureate Senior Nursing Students, Debra L. Sietsema
Masters Theses
The purpose of this descriptive, correlational study was to compare the critical thinking and clinical judgement skills of senior nursing students at two educational levels. A convenience sample of 34 students in the Midwest was obtained during the spring semester before graduation (n = 19 baccalaureate, n = 15 associate). The framework for the study was decision theory. Critical thinking ability was measured by the Watson Glaser Critical Thinking Appraisal. Clinical judgement was determined by the ability to recognize cues, provide nursing diagnosis, interventions and corresponding rationale after viewing five video vignettes produced by Performance Management Services. Demographic data was …
Evaluation Of Coagulation Studies Drawn From Heparinized Arterial Lines, Lois J. Van Donselaar
Evaluation Of Coagulation Studies Drawn From Heparinized Arterial Lines, Lois J. Van Donselaar
Masters Theses
Drawing blood from indwelling heparinized arterial catheters is a common procedure in critical care units. The accuracy of coagulation studies drawn from heparinized arterial lines has been a source of controversy and divergent results of research studies. The discarding of blood to provide an uncontaminated specimen is a concern as a source of infection for health care workers. This study evaluates the accuracy of aPTT results drawn from the Lab-Site pressure tubing system which provides a closed system that eliminates blood discard. Blood was obtained from radial artery catheters connected to the Lab-Site system and compared to specimens obtained simultaneously, …
What Is The Relationship Between Perceived Job Stress, Job Satisfaction, And Psychological Symptoms Of Critical Care Nurses?, Barbara L. Hooper
What Is The Relationship Between Perceived Job Stress, Job Satisfaction, And Psychological Symptoms Of Critical Care Nurses?, Barbara L. Hooper
Masters Theses
House's Stress Paradigm provided the theoretical framework for this study which examined the relationship between job satisfaction and job stress, and the correlation of job stress with the experience of psychological symptoms in a sample of 32 critical care nurses from an urban midwestern hospital. The Brief Symptom Inventory and Atwood and Hinshaw's Nursing Job Satisfaction and Job Stress Scales were used to measure the variables. A moderately strong correlation (r = {dollar}-{dollar}.63, p =.001) was found between job satisfaction and perceived job stress. No significant relationship was found between perceived job stress and psychological symptoms. These findings suggest that …
The Effect Of Anxiety On Student Nurses' Performance When Administering Intramuscular Or Subcutaneous Injections, Sandra L. Osborne
The Effect Of Anxiety On Student Nurses' Performance When Administering Intramuscular Or Subcutaneous Injections, Sandra L. Osborne
Masters Theses
The purpose of this study was to determine what the relationship was between levels of trait and state anxiety and performance when giving intramuscular or subcutaneous injections. It was a replication of a study by Megal, Wilken, and Volcek (1987).; In May, 1990, the STAI Form Y-2 was used to assess trait anxiety of 17 students at a community college in the Midwest. State anxiety was measured by using the STAI Form Y-1 immediately before: (1) laboratory performance examinations and (2) giving first injections to clients. Instructors completed Injection Skill Check Lists to measure performance.; Students reported high levels of …
Weaning The Long-Term Ventilator Patient: A Nursing Protocol, Karen J. Trudell
Weaning The Long-Term Ventilator Patient: A Nursing Protocol, Karen J. Trudell
Masters Theses
This study evaluated the effects of implementing a standardized nursing protocol on decreasing the length of time it takes the patient to wean from long-term ventilation using an ex post facto comparison group design. The standard nursing protocol is a set of 10 nursing interventions used to standardize the weaning process. A retrospective chart review was performed on 24 patients who were in the intensive care unit of a community teaching medical center, and required long-term ventilation of six days or more. After nine months of implementation of a standard nursing protocol, allowing for the intensive care nurses to become …
The Relationship Between Locus Of Control, Powerlessness, And Job Satisfaction Among Registered Nurses, Evelyn C. Wirsing
The Relationship Between Locus Of Control, Powerlessness, And Job Satisfaction Among Registered Nurses, Evelyn C. Wirsing
Masters Theses
A cross-sectional descriptive correlational design was used to investigate the following research questions: (a) How much variation in nurses' satisfaction can be predicted from locus of control and powerlessness? and (b) are there statistically significant (p {dollar}<{dollar}.05) differences in job satisfaction among nurses based upon their primary area of practice, highest earned degree, length of employment in current position, and employment status? A random sample of 300 staff nurses from a large acute care teaching hospital was surveyed utilizing a four-part questionnaire. The response rate was 51% (N = 152). Powerlessness accounted for 29% of the variance in job satisfaction scores and locus of control accounted for none of the variation in job satisfaction. Secondly, a weekly significant difference (F(5, 146) = 2.29, p {dollar}<{dollar}.05) in job satisfaction scores existed among clinical specialty groups, however no significant differences in job satisfaction were found for the remaining professional characteristics.
Parental Coping With A Chronically Ill Child, Shari Jo Allore Bertolone
Parental Coping With A Chronically Ill Child, Shari Jo Allore Bertolone
Masters Theses
The purpose of this study was to determine what coping mechanisms families of chronically ill children indicated they utilized to cope on a daily basis. This study utilized the Coping Health Inventory for Parents (CHIP) to collect data. The CHIP is designed to assess parents perceptions of behaviors they are currently using to manage family life. There are three main coping patterns focused on and it is hypothesized that a balance of these three patterns is essential for a positive outcome. This study found there are certain mothers and fathers who are at risk for not using a balance of …
Hardiness And Adaptation To Hypertension, Marcia L. Smit
Hardiness And Adaptation To Hypertension, Marcia L. Smit
Masters Theses
Hardiness, a personality characteristic that is purposed to mediate the stress response and reduce the likelihood of illness, was studied in the context of adaptation to chronic disease. A descriptive correlational design was used to determine whether a positive relationship exists between the presence of hardiness and psychosocial adaptation to hypertension. The sample consisted of 50 individuals 60 years old or older. Data was analyzed using the product moment correlation coefficient, Spearman's Rho, and multiple regression. A moderately weak correlation (r =.39, df = 48, p =.003) between hardiness and adaptation was found. Other significant relationships identified included those between …
Aids: Knowledge And Attitudes Among Nurses, Jeanette J. Lochan
Aids: Knowledge And Attitudes Among Nurses, Jeanette J. Lochan
Masters Theses
Reports have indicated that nurses have negative and preconceived attitudes concerning persons with acquired immunodeficiency syndrome (AIDS) and that these biases may interfere with quality care. The purpose of this descriptive correlational study was to identify the relationship between nurses' knowledge about AIDS and their attitudes toward caring for patients who are diagnosed with AIDS and/or who test positive for HIV. Data was gathered by questionnaires from a convenient sample of nurses employed at an area hospital in West Michigan. Of the 500 nurses who received the questionnaire, 208 (41.6%) participated in the study. Knowledge about AIDS was correlated with …
Perceptions Of Patients, Nurses, And Physicians Regarding Nursing As A Profession, Ann R. Robach
Perceptions Of Patients, Nurses, And Physicians Regarding Nursing As A Profession, Ann R. Robach
Masters Theses
The United States is facing a critical shortage of nurses. A prevailing societal perception of nursing having a subservient role in health care prevents many recruits from choosing this career, despite efforts by nursing leaders to change this perception (Styles, 1988). The purpose of this study was to determine the current perceptions of patients, nurses, and physicians regarding nursing as a profession.; A 20 item modified version of Valiga's View of Nursing Questionnaire was implemented for this study. The subjects included 102 patients, 126 nurses, and 68 physicians who completed the questionnaire in the fall of 1991.; Statistical analysis revealed …
Predictors Of Success On The Nclex-Rn Examination, Kathleen S. Pangle
Predictors Of Success On The Nclex-Rn Examination, Kathleen S. Pangle
Masters Theses
This ex post facto study was designed to determine if the scores of advanced standing LPNs' NCLEX-RN scores were significantly different from those of generic students and to identify predictors of success of NCLEX-RN performance. Based on Bandura's theory of self efficacy it was hypothesized that LPNs would score higher on the NCLEX-RN than generic students. The independent variables were final grades in nursing theory courses (Medical-Surgical, Obstetrics, Pediatrics, and Psychiatric Nursing), and NLN Achievement Tests and the Comprehensive Nursing Achievement Test. The study group included 195 graduates from a small, rural Associate Degree in Nursing program between the years …
Positioning Of High Risk Infants: Effects On Oxygen Utilization, Umbilical Artery Catheter Integrity And Activity, Dawn Zuidgeest-Craft
Positioning Of High Risk Infants: Effects On Oxygen Utilization, Umbilical Artery Catheter Integrity And Activity, Dawn Zuidgeest-Craft
Masters Theses
In a prospective experimental study, 24 high risk infants over 1,000 grams and under 5 days of age were observed and evaluated for the effects of positioning on the umbilical artery catheter, activity, and oxygen utilization. Infants were positioned right lateral, left lateral, supine and prone, for 2 hours in each position. The purpose of the study was to evaluate whether prone position opposed to other positions increased sleep state behaviors, reduced oxygen need, or created any complication for the umbilical artery catheter. Using a repeated measures design and repeated measures analysis of variance, it was found that positioning prone …
Evaluating Family Caregivers' Ability To Select Appropriate Care Techniques Following Discharge Instructions On Post Traumatic Brain Injury Symptoms, Connie J. Pardee
Evaluating Family Caregivers' Ability To Select Appropriate Care Techniques Following Discharge Instructions On Post Traumatic Brain Injury Symptoms, Connie J. Pardee
Masters Theses
Post traumatic brain injury symptoms can be very stressful to family caregivers. This study evaluated family caregivers' ability to select appropriate caregiver actions following discharge instructions on post traumatic brain injury symptoms. Subjects in the control group viewed videotaped discharge instructions on physical symptoms post traumatic brain injury. The experimental group viewed videotaped discharge instructions on physical symptoms, cognitive dysfunction and behavioral changes post traumatic brain injury. Both groups were given a written post test after viewing the videotape. Those who received information on physical symptoms, cognitive dysfunction, and behavioral changes had a higher mean score than those who received …
Comparison Of The Efficacy Of Heparinized And Non-Heparinized Normal Saline Solutions In Maintaining Patency Of Arterial Catheters, Juanita K. Bogart
Comparison Of The Efficacy Of Heparinized And Non-Heparinized Normal Saline Solutions In Maintaining Patency Of Arterial Catheters, Juanita K. Bogart
Masters Theses
Although the need for heparin in flush solutions has not been established, the currently accepted standard of practice is to use heparinized solutions in arterial catheter flush devices. Exposure to heparin may place patients at risk for developing heparin-induced thrombocytopenia (HITP) and subsequent embolic events. The purpose of the study was to test the null hypothesis that there is no significant difference in patency of arterial catheters maintained with heparinized or non-heparinized normal saline solutions. An experimental design using a convenience sample (N = 31) and random assignment into experimental and control groups was used. There was no statistically significant …
The Relationship Between Attributions And Adjustment Following Myocardial Infarction, Margaret Elizabeth Bowles
The Relationship Between Attributions And Adjustment Following Myocardial Infarction, Margaret Elizabeth Bowles
Masters Theses
The purpose of this study was to identify if spontaneous attributional search was part of the reaction to a myocardial infarction (MI) and if there were relationships among attributional search, perception of control over attributions, gender and adjustment following MI. Attribution theory provided the framework for this study. A descriptive correlational design was utilized. The convenience sample included twenty male and twenty female subjects hospitalized with a MI. The Multiple Affect Adjective Check List and an attribution questionnaire constructed specifically for this study were administered prior to discharge from the hospital. It was hypothesized that of those subjects that have …
The Health Belief Model And Needle Recapping: A Replication, Rosemary M. Rackow Ham
The Health Belief Model And Needle Recapping: A Replication, Rosemary M. Rackow Ham
Masters Theses
The purpose of this study was to examine the knowledge of Universal Precautions, the attitudes and beliefs regarding the risk of AIDS among emergency room and critical care nurses and physicians, and the needle recapping behavior that places them at risk for acquiring HIV infection. The Health Belief Model was the conceptual model.; The sample (n = 80) consisted of nurses (n = 68) and physicians (n = 12) who practice in the emergency room (n = 19) or a critical care unit (n = 61) in a community hospital. They completed a 31 item questionnaire. In addition, needle disposal …
Concerns/Problems Experienced After Discharge From An Acute Care Setting: The Patient's Perspective, Karen R. Peper
Concerns/Problems Experienced After Discharge From An Acute Care Setting: The Patient's Perspective, Karen R. Peper
Masters Theses
The purpose of this study was to examine the discharge planning process in terms of concerns that patients experience after discharge from an acute care setting. Betty Neuman's Health Care Systems Model was the conceptual framework. Aspects of secondary prevention were used to classify the concerns as either a lack of resources or a reaction to a stressor.; The sample (n = 146) consisted of medical and surgical patients, 18 years or older hospitalized at a community hospital for at least 24 hours.; Data were analyzed descriptively. Data revealed that patients do experience some concerns after discharge. The top four …
The Relationship Of Osteoporosis Health Beliefs And Knowledge To Calcium Intake, Karen L. Boyer
The Relationship Of Osteoporosis Health Beliefs And Knowledge To Calcium Intake, Karen L. Boyer
Masters Theses
The purpose of this study was to examine the relationship between health beliefs (susceptibility, severity, benefits, barriers, health motivation and self-efficacy) and knowledge, to calcium intake. The study used a descriptive correlational design and a convenience sample of 201 women was selected. Data collection took place in a metropolitan area of west Michigan and a structured interview method was used. The subjects ranged in age from 35 to 95. Ninety-six and one half percent of the sample was white. The hypothesis--"knowledge and the health beliefs account for a significant amount of variance in calcium intake" was partially supported. Self-efficacy and …
Patients' Perceptions Of Being Prepared For Self-Care Following Discharge From An Acute Care Setting, Linda L. Lawton
Patients' Perceptions Of Being Prepared For Self-Care Following Discharge From An Acute Care Setting, Linda L. Lawton
Masters Theses
The purpose of this descriptive study was to evaluate patients' perceptions of being prepared for discharge from an acute care setting. An instrument to look at patient perceptions of discharge preparation in 10 categories was developed. Orem's self-care model provided the conceptual basis for this study.; The study used a convenience sample of 146 adult patients hospitalized for 24 hours or more on a 35 bed surgical unit. Data were collected via telephone interviews on the third day following discharge. Perceived preparation was measured using a 5 point Likert scale.; The findings indicated a positive perception of being prepared for …
Relationships Of Osteoporosis Health Beliefs To Practiced Exercise Behaviors Of Women, Sandra J. Esch
Relationships Of Osteoporosis Health Beliefs To Practiced Exercise Behaviors Of Women, Sandra J. Esch
Masters Theses
The purpose of this study was to examine the relationship of health beliefs contained in the Health Belief Model to practiced exercise behavior of women. A descriptive correlation design was used with a convenience sample of 201 women. The revised version of the Osteoporosis Health Belief Exercise Scale developed by Kim, Horan, Gendler and Patel (1991b) was used to measure health beliefs related to osteoporosis. The ARIC/Baecke questionnaire of Habitual Physical Activity was used to measure life style physical activity. Health motivation and exercise benefits were found to be positively correlated to exercise behavior. However, susceptibility and exercise barriers were …
Perceived And Actual Level Of Knowledge Of Diabetes Mellitus Among Nurses, Gayla M. Kupris
Perceived And Actual Level Of Knowledge Of Diabetes Mellitus Among Nurses, Gayla M. Kupris
Masters Theses
The purpose of this study was to describe and compare staff nurses perceived and actual levels of knowledge of diabetes mellitus. Little research has been done to study perceived diabetes knowledge.; This study used a descriptive correlational design. A convenience sample of 60 staff nurses from a 248 bed suburban teaching hospital was surveyed. The Diabetes Self-Report Tool (Drass, Muir-Nash, Boykin, Turek, & Baker, 1989), was used to assess staff nurses' perceived level of diabetes knowledge. The Diabetes: Basic Knowledge Test (Drass, et al., 1989), was used to measure actual level of diabetes knowledge. Subjects were found to have an …
Bedtime Routines And Sleep Patterns Of Hospitalized Elderly, Marie E. Vander Kooi
Bedtime Routines And Sleep Patterns Of Hospitalized Elderly, Marie E. Vander Kooi
Masters Theses
The purpose of this study was to examine whether performance of a familiar bedtime routine was related to the self-reported nocturnal sleep pattern quality of the hospitalized elderly. A descriptive correlational design was used to analyze data collected on a convenience sample of 30 elderly patients. The Bedtime Routine Questionnaire was used to describe the bedtime routine at home and measure to what extent it was maintained in the hospital. The nocturnal sleep pattern quality was measured using the Richards Campbell Sleep Questionnaire. The most common bedtime routine activities of the elderly were found to be: going to the bathroom; …
Cancer Patients' Response To Chemotherapy Teaching On Side Effect Management, Kelly A. Guswiler
Cancer Patients' Response To Chemotherapy Teaching On Side Effect Management, Kelly A. Guswiler
Masters Theses
The purpose of this descriptive study was to investigate patients' responses to chemotherapy teaching on drug side effects and side effect management. Concepts of self-care from Orem's theory of Self-Care Deficits provided the conceptual framework.; Nineteen cancer patients were given specific information on chemotherapy side effects and side effect management prior to initiating treatment. Patients maintained a written log of experienced side effects and self-care behaviors that they initiated to manage these effects. Number of side effects, intensity and distress rating of side effects, reported self-care behaviors, and effectiveness of the behaviors were analyzed using percentages. Nausea/vomiting, diarrhea, stomatitis, and …
Nursing Participation In Hospital Decision-Making, Sylvia J. Simons
Nursing Participation In Hospital Decision-Making, Sylvia J. Simons
Masters Theses
Nurse administrators may participate in predicting organizational trends and planning at various organizational levels, however, the degree of actual participation of the nurse administrator in hospital decision-making is a relatively new area of investigation. A descriptive cross-sectional research design was used to investigate the differences between nurse administrators' actual and preferred participation in hospital decision-making. A stratified random sample of 60 nurse executives and 60 nurse managers was selected from the Michigan Organization of Nurse Executives' membership list. The overall response rate was 67% (N = 81). Data were obtained from individual nurses by questionnaires. The responses from the nurse …
Maternal Employment Status Following The Birth Of An Infant, Julie A. Hyde
Maternal Employment Status Following The Birth Of An Infant, Julie A. Hyde
Masters Theses
A descriptive correlational study was conducted in partial replication of the Youngblut (1989) study for the purpose of determining the relationship between variables related to mothers' employment status and the infants' developmental status at three months. Families of the sample (n = 105) were termed working, non-working or leave of absence (LOA) depending on the mothers' employment status at the infant age of three months.; Variables examined included demographic, reproductive histories, mother-child interaction, employment status, family functioning, neonatal morbidity, developmental outcomes and home/work orientation. Findings revealed that despite a higher SES category than nonworking and LOA families, working mothers also …
Nursing Care Of The Elderly In The Acute Care Setting: An Investigation Of Powerlessness, Dorothy De Boer Zylstra
Nursing Care Of The Elderly In The Acute Care Setting: An Investigation Of Powerlessness, Dorothy De Boer Zylstra
Masters Theses
This study's purpose was to identify whether persons 65 years of age or older hospitalized with congestive heart failure perceive personal powerlessness. Cognitive competence of the subjects was determined by the Short Portable Mental Status Questionnaire. A Powerlessness Interview Schedule (PIVS) was used to identify subjects' perceptions of personal powerlessness.; Perceived powerlessness was not conclusively apparent in the fifty-one subjects of this study. No subjects received a score of 38 or below. Ten of fifty-one subjects received scores ranging from 46 to 56 which may place them at risk for perceived personal powerlessness. Forty-nine subjects had areas of limited feelings …
Patient Perceptions Of Nurse Caring Behaviors, Patricia A. Devries
Patient Perceptions Of Nurse Caring Behaviors, Patricia A. Devries
Masters Theses
The purpose of this study was to examine which nurse caring behaviors in the critical care unit are perceived as most important and least important by patients with myocardial infarction. A sample of 44 subjects responded to an open-ended question and an assessment scale, the Caring Behaviors Assessment. Two comparison groups of 22 subjects each were formed from the sample to determine if number of previous admissions to the critical care unit made a difference in perceptions of most important and least important nurse caring behaviors.; Descriptive statistics along with t-test, chi-square, and two-way analysis of variance were used to …
Determinants Of Health Promotion In The Elderly, Victoria Ann Merren
Determinants Of Health Promotion In The Elderly, Victoria Ann Merren
Masters Theses
The purpose of this study was to look at determinants of health promotion in the elderly. Pender's (1982) Health Promotion Lifestyle Profile, Wallston & Wallston's (1979) Health Locus of Control Scale, and demographic variables were included on a questionnaire given to a convenience sample of 47 adults, ages ranged from 60-89. All subjects were Caucasian and 65% were female.; The theoretical framework that was used in this descriptive study was Pender's (1987) Health Promotion Model. Standardized z-scores for the Health Locus of Control subscales classified subjects as either "internal" or "external" locus of control. Thirty-five percent were internal.; Forward Regression …
Relationships Of Osteoporosis Health Beliefs To Calcium Intake Of Women, Mary C. Peterson
Relationships Of Osteoporosis Health Beliefs To Calcium Intake Of Women, Mary C. Peterson
Masters Theses
The purpose of this study was to examine the relationships of health beliefs to calcium intake of women. Two hypotheses were tested: (1) There is a positive relationship between the strength of health beliefs related to susceptibility, seriousness, benefits and motivation and the level of calcium intake. (2) There is a negative relationship between the strength of health beliefs related to barriers and calcium intake.; The study was conducted using a descriptive correlational design. The sample included 201 women between the ages of 35 and 95. The study used the Osteoporosis Health Belief Calcium Scale to measure health beliefs about …