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Articles 361 - 390 of 413
Full-Text Articles in Nursing
Evaluation Of The Effectiveness Of A Urinary Continence Program With Urinary Incontinent Rehabilitation Patients, Pat Emmons
Master's Projects
This study used a quasi-experimental design to evaluate the outcomes of a continence program in a rehabilitation center with patients receiving therapies (N=l2) and to evaluate the knowledge and attitudes of the rehabilitation staff (N=27) before and after reviewing a teaching module about urinary incontinence. Roy's adaptation theory was used as the conceptual framework for this research project. The tools used for data collection were: the Functional Independence Measure {FIM), daily 24 hour incontinence logs, pre/post true and false knowledge tests and pre/post staff attitude questionnaires. Eleven of the 12 patients admitted to the program had improved FIM scores and …
Evaluation Of The Effectiveness Of The "Youth Leadership" Class In The Prevention Of Adolescent Depression, Jacqueline Oria
Evaluation Of The Effectiveness Of The "Youth Leadership" Class In The Prevention Of Adolescent Depression, Jacqueline Oria
Master's Projects
Depression in adolescence is a common and potentially life-threatening health problem. Depending upon the severity of symptoms, anywhere from 2% to 40% of teenagers are affected with depression (Sadler, 1993). The purpose of this study is to evaluate the effects of prevention strategies on decreasing the rate of depression in adolescents. It is hoped that a class addressing specific skills identified as having an impact on adolescent depression will affect the youth participating in the program.
Nurse Practitioners' Attitudes And Knowledge Toward Cpt Coding, Tanya Lee Sa
Nurse Practitioners' Attitudes And Knowledge Toward Cpt Coding, Tanya Lee Sa
Master's Projects
This survey of nurse practitioners (NPs) determined their knowledge and attitudes regarding Current Procedural Terminology (CPT) codes. Overall, NPs lacked the requisite knowledge and did not perceive the significance of this essential reimbursement strategy.
A Comparison Of Perceived Nurse Practitioner Practice Barriers, Katherine Kinner
A Comparison Of Perceived Nurse Practitioner Practice Barriers, Katherine Kinner
Master's Projects
Novice nurse practitioners (NP) face unique obstacles to practice. Few studies examine factors influencing early NP clinical performance. Therefore, this research project analyzed data obtained from 243 members of an NP professional organization, who were asked to identify barriers encountered within the first 3 years of practice. Responses were received from beginning and more experienced NPs. The top 3 barriers named were lack of public knowledge, lack of positions for NPs, and a lower salary than anticipated. The promotion of NP assets through expanded media coverage and individual educational efforts, the national standardization of the role, and the elimination of …
Culture Of Origin And Illness Attribution: The Implications Of Cross-Cultural Awareness For Health Care Professionals, Eri Matsumoto-Lyons
Culture Of Origin And Illness Attribution: The Implications Of Cross-Cultural Awareness For Health Care Professionals, Eri Matsumoto-Lyons
Master's Projects
People from different cultural backgrounds have different beliefs and perceptions concerning health and illness. Differing illness beliefs between health professionals and patients may result in conflicting expectations regarding treatment choice and outcome. This non-experimental research was designed to explore illness attribution among Caucasian, Hispanics, and Asians with chronic or acute illness. The results suggest that there was no significant difference in illness attribution beliefs between the three ethnic groups; however, primary language, years spent in U.S., and educational backgrounds were associated with differences in illness attribution. Health care providers must think of culture in a broader spectrum than just race …
Evaluation Of The Effectiveness Of A Teaching Program On The Care Provided To Jewish Clients, Ilana Cood Withop
Evaluation Of The Effectiveness Of A Teaching Program On The Care Provided To Jewish Clients, Ilana Cood Withop
Master's Projects
The purpose of this qualitative evaluation study was to determine how an educational program provided to nursing students changed their perceptions of the care they provided to Jewish clients. A teaching program on Jewish beliefs and culture was given to ten baccalaureate nursing students who were providing care to Jewish older adults through one of the university's Academic Nurse Managed Centers. The teaching program was given early in the semester and students were interviewed four and eight weeks later to determine how the teaching program influenced their interactions with clients. Three major themes emerged from the interview data: a) increased …
The Lived Experience Of Older Mexcian American Adults With Type 2, Non-Insulin Dependent Diabetes Mellitus, Lizza C. Abella
The Lived Experience Of Older Mexcian American Adults With Type 2, Non-Insulin Dependent Diabetes Mellitus, Lizza C. Abella
Master's Projects
Purpose: The purpose of this study was to explore the lived experience of Mexican American older adults with type 2, non-insulin dependent diabetes. Research design and results: A phenomenological research approach was used when interviewing a sample of ten English speaking Mexican American older adults in Santa Clara County, California. Three collective themes were identified: Emotions prevalent in living with diabetes, diabetes' impact on life, and cultural factors affecting diabetes self care. Discussion/conclusions/implications: A duality of thoughts and experiences in living with diabetes, and the strong influence of culture and its beliefs characterize the life-world of Mexican American non-insulin dependent …
Reducing The Potential For Falls Among Community Dwelling Older Adults, Sharon-Xiaowen Hu
Reducing The Potential For Falls Among Community Dwelling Older Adults, Sharon-Xiaowen Hu
Master's Projects
This research study used a pre-test and post-test design to determine if a nursing educational intervention would reduce the potential for falls among the community dwelling elderly. The participants (N=15) were: (a) age 65 or older, (b) mentally competent, (c) predisposed to falls, and (d) living independently. Four instruments were utilized to collect data: (a) the Folstein mini-mental state examination (MMSE), (b) a fall predisposition scale, (c) a home assessment checklist (Tideikaar, 1987), and (d) interview questions. Statistics were used to evaluate findings. The results show that a nursing educational intervention had a positive impact to help reduce the risk …
Prominent Signs Of Attention Deficit/Hyperactivity In The Adult, Marcia Katz
Prominent Signs Of Attention Deficit/Hyperactivity In The Adult, Marcia Katz
Master's Projects
Attention-deficit/hyperactivity disorder (ADHD) is a common neurophyschiatric syndrome which most commonly becomes apparent during the first few years of grade school. While it was previously thought that this disorder remitted before or during adolescence, it has become well established that many patients will have an illness course that persists well into adulthood. The purpose of this study was to determine the 10 most prominent symptoms of ADHD in the adult population. Using the Dunphy and Winland-Brown (1998) "Circle of Caring" conceptual framework and the Wender (1998) Utah Criteria Scale questionnaire, a convenience sample of females (N=l5) from northern California were …
Attitudes, Knowledge, And Practice Strategies Of Nurse Practitioners In The State Of California Regarding Complementary Therapy, Steven J. Lenthe
Attitudes, Knowledge, And Practice Strategies Of Nurse Practitioners In The State Of California Regarding Complementary Therapy, Steven J. Lenthe
Master's Projects
Context: This is a replication of a study by Boucher and Lenz (1) concerning knowledge and attitudes of physicians in a Midwestern teaching hospital about complementary therapy. Approval for use of all or any part of the original questionnaire was obtained from the authors. Objective: To discover the attitudes, knowledge, and practice strategies related to complementary therapy by nurse practitioners in the state of California. Conclusion: Overall nurse practitioners view the combination of complementary therapies and allopathic medicine as beneficial to positive outcomes for their clients. Nurse practitioners in the State of California appear to be knowledgeable in the purposes …
Factors Influencing Compliance In The Treatment Of Elderly Hypertensive Vietnamese Clients, Cuong Phu Pham
Factors Influencing Compliance In The Treatment Of Elderly Hypertensive Vietnamese Clients, Cuong Phu Pham
Master's Projects
Little is known about health care beliefs and practices among Vietnamese elderly persons living in the United States. In general, studies of patient compliance with medical advice consistently demonstrate a high level of noncompliance. Not following recommendations can have serious negative consequences in the management of disease. The purpose of this study was to investigate compliance among a group of elderly Vietnamese clients with the plan given to them by their physicians for control of hypertension. Because the literature reports a high correlation between income and level of education with compliance in other groups, these factors were also studied as …
Accommodationg Nursing Students With Learning Disablities, Debrayh Gaylle
Accommodationg Nursing Students With Learning Disablities, Debrayh Gaylle
Master's Projects
This study examined factors that facilitated or hindered the process of accommodating learning disabled nursing students in the classroom. Surveys were mailed to 300 faculty at associate and baccalaureate degree schools of nursing. The survey focused on faculty members' degree of ease or difficulty in providing accommodations, their perceptions of the adequacy of institutional support, and their own beliefs and understanding of the accommodation process. Analysis of the 109 returned surveys suggest the majority of faculty understood the need for accommodations. The majority of respondents stated they received adequate support from their respective institutions and were able to provide the …
A Study Of Nursing Students And Intrinsic Spirituality, Christine Anderson Madsen
A Study Of Nursing Students And Intrinsic Spirituality, Christine Anderson Madsen
Master's Projects
This paper describes some theoretical perspectives of spirituality, the concepts of spiritual care and spiritual needs, and barriers to providing spiritual care as described in the literature. The two most frequently described barriers are lack of comfort with the topic and lack of education. Because there is so little written about the discussion of spirituality in schools of nursing, a descriptive study using nursing students on the central coast of California was conducted. The Spiritual Involvement and Beliefs Scale (SIBS) was used to measure intrinsic spirituality. This study looked for relationships between the scores on this scale, and the students' …
The Effect Of Pain Management Education On Nurses' Knowledge And Attitudes Regarding Opioids And Adjuvants, Lynne Hopper Mccoy
The Effect Of Pain Management Education On Nurses' Knowledge And Attitudes Regarding Opioids And Adjuvants, Lynne Hopper Mccoy
Master's Projects
The purpose of this research was to determine if a pain management class improved nurses' knowledge and influenced nurses' attitudes regarding pain management. The design was quasi-experimental using pretest-posttest intervention. 83 participants completed the Nurses Knowledge and Attitude Survey Regarding Pain twice. Those who attended a class showed improvement in their pain management knowledge and attitude scores on the survey. Implications for staff development and inservice educators are that continuing education increases nurses knowledge about pain management and must include opportunities for class members to apply concepts.
Evaluation Of The Effectiveness Of A Health Education Program For Classroom Assistants, Patricia A. Robinson
Evaluation Of The Effectiveness Of A Health Education Program For Classroom Assistants, Patricia A. Robinson
Master's Projects
Classroom Instructional Assistants are being used more frequently to provide care for medically fragile children who are mainstreamed into the regular education setting. The purpose of this evaluative study was to develop a beginning health curriculum that could be provided as an inservice program for classroom Instructional Assistants. Content for the inservice consisted of handwashing, medication administration, asthma, and seizures. This study used a pretest and posttest design to look at the effectiveness of the educational inservice. There were 17 participants, 16 of whom completed the pretest and posttest. A pretest was administered prior to the inservice followed by a …
Differentiation In Roles Of School Nurse And Unlicensed Assistive Personnel, Lynn Shieh
Differentiation In Roles Of School Nurse And Unlicensed Assistive Personnel, Lynn Shieh
Master's Projects
School nurses provide a vast number of health services for students, teachers, and staff. Despite school nurses' important contributions to the health status of students, through the years their positions have been gradually supplemented by Unlicensed Assistive Personnel (UAP)/ Health Clerks. With the number of UAPs increasing in the school setting, roles and responsibilities of school nurses and UAPs need to be clearly differentiated in order to utilize the UAP's services legally and efficiently. This research used a descriptive survey to investigate the perceptions that differentiate the role of school nurses and UAPs among school administrators, nurses, UAPs, secretaries, and …
Self-Esteem: The Impact Of A Course In Growth And Development On Fifth Grade Students, Mary Jang
Self-Esteem: The Impact Of A Course In Growth And Development On Fifth Grade Students, Mary Jang
Master's Projects
Teens in the United States have the highest pregnancy, abortion, and sexually transmitted disease rates among the developed countries. The social and financial costs of teen births are staggering. Research shows that high self-esteem is significantly related to resistance to group pressures, willingness to express unpopular opinions, family adjustment, creativity, and effective communication between parents and youth. The research question is: Will a 5-hour course in growth and development increase the level of self-esteem in fifth grade students? A convenience sample of 20 students (13 girls and 7 boys) who attend a public elementary school in San Jose, California, comprised …
Family Communication And Competence Among Siblings Of Pediatric Oncology Patients, Kimberly Olvera Butler
Family Communication And Competence Among Siblings Of Pediatric Oncology Patients, Kimberly Olvera Butler
Master's Projects
Pediatric oncologic diseases are a leading cause of mortality and morbidity among children. The chronicity of the treatment requires the family to adjust their daily routines to care for the ill child. The changes are experienced by all the family members: the ill child, the parents, and the well siblings. The literature reflects variable effects on the well sibling. There has been limited research that evaluates the effects of family interaction patterns. This pilot study examined communication within the family and sought to determine if communication, as measured on the Parent-Adolescent Communication Scale, correlated with competence, as measured on the …
An Evaluation Of A Nurse Case-Managed Program For Children With Diabetes, Jean Y. Caravalho
An Evaluation Of A Nurse Case-Managed Program For Children With Diabetes, Jean Y. Caravalho
Master's Projects
This study evaluates an integrated model of care for children with diabetes that was developed at an HMO. This model program of 56 subjects included a nurse case manager, a multidisciplinary team clinic, and educational and counseling interventions to empower families to improve self-management of the children's diabetes. The purpose of the program was to improve diabetes self-management as measured by pre- and postintervention glycosylated hemoglobin values, quality of life, and self-efficacy ratings. There were improvements in means of all measures of self-management and a statistically significant improvement in self-efficacy beliefs of the parents. The higher quality of life and …
Assessment Of Nurse Practitioner Management Of Breast Cancer Screening, Renee M. Comee
Assessment Of Nurse Practitioner Management Of Breast Cancer Screening, Renee M. Comee
Master's Projects
The purpose of this study was to examine current practice behaviors of adult nurse practitioners when assessing and screening asymptomatic women over age 50 for breast cancer. Rosenstock's Health Model and Bandura's social learning theory guided this research. One hundred-fifty nurse practitioners were surveyed by questionnaire. Seventy-six surveys were completed and returned. Survey results revealed that those practitioners who had experienced breast cancer themselves were more aggressive in their screening and follow-up practices than those who had never had breast cancer. It was also noted that the nurse practitioners surveyed were performing initial breast cancer screening but not having patients …
Childern Witnessing Domestic Violence, Meghan Denzel
Childern Witnessing Domestic Violence, Meghan Denzel
Master's Projects
Statement of Problem: Although witnessing violence in the family may account for many symptoms brought to the attention of the primary care providers, such violence is seldom identified as an issue. The purpose of this study was to assess the incidence of children witnessing violence in the home, as self reported by victims of domestic violence in a clinical setting. Method: The study was a retrospective chart review. Data was gathered from a survey administered to individuals identified in the emergency department as victims of domestic violence. The survey addressed demographics, child witnesses to violence, and co-factors of violence including …
Quality Of Life And Locus Of Control Of Migraineurs, Lesley L. Allen
Quality Of Life And Locus Of Control Of Migraineurs, Lesley L. Allen
Master's Projects
Advanced practice nurses are essential primary health care providers actively engaged in health promotion, illness prevention, and the management of acute and chronic diseases. The purpose of this study was to measure the quality of life and locus of control among three different groups of migraineurs. A retrospective quantitative study was conducted using Ferrans and Powers' (1985) Quality of Life Index and Martin, Holroyd, and Penzien's (1990) Headache Specific Locus of Control questionnaire. The analysis of 79 adult migraineurs indicated that those who received headache education had a higher quality of life and higher external locus of control scores than …
A Comparison Of Domestic Violence Screening, Attitudes, And Knowledge Base, Terry Gardner
A Comparison Of Domestic Violence Screening, Attitudes, And Knowledge Base, Terry Gardner
Master's Projects
Objective: To compare advanced practice nurses' (APNs) and physicians' (MDs) domestic violence screening behaviors, perceived obstacles, and knowledge base so as to determine the efficacy of the collaborative practice model of care. Design: The survey questionnaires were the "Nurse Practitioners' Experience with Partner Abuse in Alaska" and the "Physicians' Experience with Partner Abuse in Alaska". Significant differences were evaluated by using one-way analysis of variance (ANOVA). Setting: Two 200-300 bed urban HMO medical centers. Participants: Thirty-five providers (23 MDs and 12 APNs) with the mean age of 40, and with 8 years clinical practice in California. Results: Of total providers, …
Women's Perception Of Provider, Social, And Program Support In An Outpatient Drug Treatment Program, Melaine Marie Salmon
Women's Perception Of Provider, Social, And Program Support In An Outpatient Drug Treatment Program, Melaine Marie Salmon
Master's Projects
The purpose was to explore perceptions of pregnant and parenting substance abusing women in an outpatient drug treatment program regarding provider and social support. Also identified were aspects of the rehabilitation program perceived by the women as assisting them to maintain abstinence from substance use. Data were collected through a demographic questionnaire and a tool designed by the authors based on the Social Stress Model of Substance Abuse (Lindenberg, Gendrop, & Reiskin, 1993) and the literature of social support. The majority of the women were satisfied with their social support from family and friends. Sixty-seven percent of the women felt …
Effects Of Collaborative Learning On Test Scores Of First Semester Nursing Students, Theresa Sue Rivera
Effects Of Collaborative Learning On Test Scores Of First Semester Nursing Students, Theresa Sue Rivera
Master's Projects
Thirty-two first-year nursing students enrolled in a first semester nursing fundamentals class at a local community college participated in a study that compared three test score grades between nursing students who studied with a partner(s) and those who studied alone. Four types of study groups were identified from a questionnaire by having students indicate whether they studied alone or with a partner(s) in-preparation for each of the three tests. Test scores were matched with the student I.D. number and recorded. In this study, a one-way analysis of variance (ANOV A) was used to test the effect of studying together and …
Great Suffering, Great Compassion: A Transcultural Opportunity For School Nurses Caring For Cambodian Refugee Children, Teresa L. Tellep
Great Suffering, Great Compassion: A Transcultural Opportunity For School Nurses Caring For Cambodian Refugee Children, Teresa L. Tellep
Master's Projects
The unique cultural ways of Cambodian refugee families, combined with the physical and psychological health problems inherent in their refugee experience, present challenging and rewarding opportunities for school nurses to engage in the process of transcultural nursing. The authors discuss the profound and devastating impact of the refugee experience upon the mind, body, and spirit of Cambodian children. The purpose of this exploratory and descriptive study was to understand the nature and meaning of a school district's cross-cultural team's experiences of providing health care for Cambodian refugee children. Focus group interviews of school nurses and Cambodian liaisons were conducted, utilizing …
The Differences In Health Beliefs And The Frequency Of Mammograms Among Older Women, Angela E. Hall
The Differences In Health Beliefs And The Frequency Of Mammograms Among Older Women, Angela E. Hall
Master's Projects
Increasing age is the primary risk factor for breast cancer, yet older women underutilize mammography for early detection. The purpose of this study was to explore any differences in perceived benefits, perceived barriers, and physician recommendation rate between older women who do and those who do not follow current mammogram screening guidelines. A convenience sample of women over 65 years old (N = 70), completed the Health Belief Model questionnaire on mammography. The findings indicate a statistical difference in the perceived benefits to mammograms between the two groups (t = 2.72, p = .008). There was no statistical difference in …
Length Of Pregnancy And Birthweight Between Black And White Women, Christine Herdt
Length Of Pregnancy And Birthweight Between Black And White Women, Christine Herdt
Master's Projects
The pregnancies of Black women are complicated by adverse outcomes, such as prematurity and low birthweight, at twice the rate of complications in pregnancies of White women (Taylor, Katz, & Moos, 1995). Early access to and adequate utilization of prenatal care services are essential for successful pregnancy and birth outcomes (Rowley, 1994). The purpose of this study was to determine if there was a difference in length of pregnancy and birthweight between Black and White women at risk for preterm birth in a Preterm Delivery Prevention Program. A chart review of 79 clients enrolled in the Preterm Delivery Prevention Program …
The Level Of Confidence Of School Nurses To Perform 46 Specified School Nursing Services, Camille Maysonave Brinks
The Level Of Confidence Of School Nurses To Perform 46 Specified School Nursing Services, Camille Maysonave Brinks
Master's Projects
The newly hired, novice school nurse often transitions from a baccalaureate program or an acute care setting to the school nurse role. This newly hired school nurse may be ill prepared for the wide range of services required in school nursing. The California, coastal school district where this pilot study took place, needed to develop an orientation program for newly hired school nurses. The purpose of the project was to ascertain confidence levels of novice school nurses in performing their new role as compared to experienced nurses. Benner's framework "From Novice to Expert" was used to guide this study. The …
Nurse Practitioners' Practices Related To Testicular Cancer And Testicular Self-Examination, April E. Schwegel
Nurse Practitioners' Practices Related To Testicular Cancer And Testicular Self-Examination, April E. Schwegel
Master's Projects
Testicular cancer remains the number one cancer for men age 15 through 35. Early detection is essential to decrease morbidity and mortality. The purpose of this study was to identify and describe the extent to which California nurse practitioners screen for testicular cancer and the frequency of teaching testicular self-examination to patients. The study surveyed 425 adult or family nurse practitioners, currently practicing in the state of California, with a patient population that includes males age 15-35. The study supported the previous findings of Sladden and Dickinson (1995). Nurse practitioners do believe that testicular self-examination is an effective screening method …