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Articles 571 - 600 of 734
Full-Text Articles in Nursing
An Educational Initiative To Promote Evidence-Based Practice, Laurel Ann Ecoff Phd, Ms, Rn, Nea-Bc
An Educational Initiative To Promote Evidence-Based Practice, Laurel Ann Ecoff Phd, Ms, Rn, Nea-Bc
Dissertations
Evidence-based practice (EBP), recognized as essential in providing quality patient care and achieving optimal outcomes, is the integration of the best research evidence, patient preference, and clinician expertise. Healthcare providers must attain expertise in integrating EBP into the clinical setting. Fellowships are one strategy reported in the literature to assist nurses in acquiring needed knowledge and skills for evidence-based care. The purpose of the study was to evaluate the effectiveness of an educational intervention, the Evidence-Based Practice Institute (EPBI), to teach nurses the process of EBP for project implementation to improve nursing and patient outcomes. This descriptive study used a …
The Use Of Healing Touch In Adults With Hepatitis C Virus Receiving Interferon And Ribavirin: A Pilot Study, Margaret Ann Taylor Phd, Msn, Cns, Htcp/I
The Use Of Healing Touch In Adults With Hepatitis C Virus Receiving Interferon And Ribavirin: A Pilot Study, Margaret Ann Taylor Phd, Msn, Cns, Htcp/I
Dissertations
In the United States, an estimated 3.2 million individuals are infected with hepatitis C virus (HCV) the nation's most common chronic blood-borne viral infection. The number of deaths from HCV was predicted to triple within the next two decades. The most effective treatment for HCV is a combination of interferon and ribavirin; however, as many as 92% of patients experienced fatigue as a side effect. The severity of this symptom caused some patients to skip dosages or even stop the required medication regimen before it was completed. The primary purpose of this pilot study was to test the feasibility of …
The Contemporary Perspective Of Wellness Through The Voices Of The Kūpuna, Anne P. Odell Phd
The Contemporary Perspective Of Wellness Through The Voices Of The Kūpuna, Anne P. Odell Phd
Dissertations
Few studies successfully explain the decline of Hawaiian health, nor provide enough insight to the cultural determinants that affect Hawaiian wellness. For over two hundred years, Hawaiians have been influenced by a changing landscape mostly imposed upon Hawaiians and Hawaiian lands as a consequence of being conquered by powerful Western cultures. This grounded theory study utilized video elicitation and focus group methodologies to examine the perspective of wellness in a group of Hawaiian elders known as kūpuna. Following the viewing of a documentary film designed to elicit culturally based memories, a series of interview questions were asked to foster group …
Intergenerational Communication: Its Effect On Early Screening Activities In African-American Adult Daughters Of Mothers With Breast Cancer, Rita R. Callahan Phd, Ma, Bsn, Rn
Intergenerational Communication: Its Effect On Early Screening Activities In African-American Adult Daughters Of Mothers With Breast Cancer, Rita R. Callahan Phd, Ma, Bsn, Rn
Dissertations
Health communication at numerous levels is vital to sustainability of healthy individuals. The notion of African-American mothers and adult daughters sharing breast health and breast cancer knowledge openly and honestly could be the initial step in addressing the high morbidity and mortality that continues to affect this population. Communication is a variable that has yet to be studied between African-American mothers diagnosed with breast cancer and their adult daughters. This study first examined whether this relationship existed, and secondly if it was strong enough in supporting and encouraging one another towards consistent breast health and breast cancer screening activities. The …
Spirituality And Symptom Self Management Of Osteoarthritis, Lois M. Kannan Phd
Spirituality And Symptom Self Management Of Osteoarthritis, Lois M. Kannan Phd
Dissertations
Healthcare providers need to identify holistic self-care techniques that are endorsed by patients as effective strategies for symptom management of osteoarthritis, which is the single most common cause of disability in older adults. Research in this area may direct the development of interventions to ensure that older adults are afforded every opportunity to remain active and productive, with an improved health related quality of life, despite age related musculoskeletal conditions. The purpose of this study was to describe the relationships among symptom experience, symptom management, and symptom outcome based on spiritual well-being. A quantitative, descriptive, correlational, and noninterventional study design, …
Transformations With Tai Chi: The Experience Of Community-Dwelling Tai Chi Practitioners, Sunny Yim Alperson Phd
Transformations With Tai Chi: The Experience Of Community-Dwelling Tai Chi Practitioners, Sunny Yim Alperson Phd
Dissertations
While Tai Chi practice has dramatically increased across the U.S., its mechanism is unknown, and overall understanding of the phenomenon is lacking. The purpose of this study was to explore the experience of community-dwelling Tai Chi practitioners through a qualitative study, detailing its social and personal appeal, the reasons for their continued involvement, its symbolic meanings, and its impact on their lives. Utilizing the grounded theory method and dimensional analysis, in-depth interview data from 23 practitioners, aged 49-82 were audio-recorded, transcribed, coded and analyzed to derive a grounded theory. A theoretical model, transformation with moving meditation was developed, reflecting the …
An Ethnography Study Of Hiv Positive Midlife Black Women, Charlotte Stoudmire Phd
An Ethnography Study Of Hiv Positive Midlife Black Women, Charlotte Stoudmire Phd
Dissertations
Black women, ages 45 and older, are disproportionately affected by the HIV/AIDS epidemic. In 2001, Black women comprised 11% of all older women in the United States; however, they accounted for more than 50% of AIDS cases and more than 65% of HIV cases (Winningham et al., 2004). The literature review reflected little research specifically looking at the reason(s) for the increase in HIV in Black women, ages 45 to 60. Furthermore, few research studies focused on HIV patient health beliefs and their experiences in living with HIV. This study was conducted with an ethnography research method coupled with the …
The Effects Of Flaxseed Sdg On Perimenopausal Women With Mild Hyperlipidemia, Bonnie Marblestone Phd
The Effects Of Flaxseed Sdg On Perimenopausal Women With Mild Hyperlipidemia, Bonnie Marblestone Phd
Dissertations
In 2001, the National Cholesterol Education Program (NCEP) expanded their guidelines for evaluation and treatment of hyperlipidemia which includes not only a low cholesterol diet and exercise, but also the use of plant stanols such as Flaxseed and Soluble fiber. According to the NCEP III guidelines, women with mild hyperlipidemia and low risk cardiac factors would not qualify for drug therapy to control their cholesterol. However, the use of plant stanols could be used as an alternative. As there are limited studies involving postmenopausal women in regards to treatment of heart disease, there is virtually no information or research on …
Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns
Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns
Dissertations
Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …
Dyspnea: Effect Of Auricular Acupressure In End Stage Lung Cancer Patients, A Pilot Feasibility Study, Roger Alan Strong Phd
Dyspnea: Effect Of Auricular Acupressure In End Stage Lung Cancer Patients, A Pilot Feasibility Study, Roger Alan Strong Phd
Dissertations
Introduction: Dyspnea is a debilitating symptom, common in advanced lung cancer patients, and poorly controlled. The National Institutes of Health has promoted the need for research regarding end of life care symptom control. Purpose: Conduct a feasibility study evaluating auricular acupressure effects on dyspnea in hospice lung cancer patients. Theoretical framework: The UCSF School of Nursing Symptom Management Faculty Group's Model for Symptom Management was used for the conceptual framework. The model includes three dimensions: symptom experience, symptom management strategies, and symptom outcomes. The Human Energy Field Theory provided context for using auricular acupressure. Aim: Conduct a pilot study evaluating …
A Quantitative And Qualitative Inquiry Into Moral Distress, Compassion Fatigue, Medication Error, And Critical Care Nursing, Jeanne Maiden Phd, Ms, Rn, Cns
A Quantitative And Qualitative Inquiry Into Moral Distress, Compassion Fatigue, Medication Error, And Critical Care Nursing, Jeanne Maiden Phd, Ms, Rn, Cns
Dissertations
A correlational embedded mixed method design was used for this study. A purposive sample of 205 critical care nurses (CCNs) provided quantitative data for the study. A focus group interview of five CCNs provided the qualitative data. The Moral Distress Scale (MDS), Professional Quality of Life Scale (ProQOL), and Medication Administration Error (MAE) Scale and demographics form were used to measure quantitative data. Quantitative findings included the majority of participants were female (91.7%); mean age 47 (SD = 7.91) years; mean years worked as a nurse was 23 (SD = 8.48); mean years worked on respective unit was 13.6 (SD …
Predictors Of Re-Hospitalization For Home Healthcare Patients, Brenda Fischer Phd, Msn, Mba, Rn, Cphq
Predictors Of Re-Hospitalization For Home Healthcare Patients, Brenda Fischer Phd, Msn, Mba, Rn, Cphq
Dissertations
The overall purpose of this study was to examine the predictive capability of OASIS admission data for acute care re-hospitalization of home healthcare patients. Secondary data analysis using logistic regression was conducted on retrospective data from OASIS collected during the time period of July 1, 2006 to June 30, 2007. This study was conducted in a Medicare certified Home Health organization that is part of the largest public health system in California. The sample of 1802 patients with complete episodes of care was derived from a data set of 5,523 patients. All patients were included in the analysis and logistic …
Obesity Risk Knowledge, Self-Efficacy, And Physical Activity In Families Of Adolescents, Elaine M. Rutkowski Phd, Msn, Rn, Cns
Obesity Risk Knowledge, Self-Efficacy, And Physical Activity In Families Of Adolescents, Elaine M. Rutkowski Phd, Msn, Rn, Cns
Dissertations
There were no significant relationships found between parental obesity risk knowledge and physical activity in their children. nor between parent's self efficacy and their children's physical activity. In addition there was no significant relationship between the adolescents' obesity risk knowledge and their physical activity. There was, however, a statistically significant relationship between adolescent's self efficacy and physical activity. The result of the correlation between parent's self-efficacy and their level of physical activity was not significant but approached significance (p = .07) and may be identified as a trend. There was a statistically significant negative correlation between parents who describe their …
Parental Decision Making In The Administration Of Stimulant Medication For Their Latency Age Children With Attention Deficit Hyperactivity Disorder (Adhd), Randye Kay Phd, Msn, Rn
Parental Decision Making In The Administration Of Stimulant Medication For Their Latency Age Children With Attention Deficit Hyperactivity Disorder (Adhd), Randye Kay Phd, Msn, Rn
Dissertations
The purpose of this study was to examine parental decision making in the administration of stimulant medication to their latency age children with Attention Deficit Hyperactivity Disorder (ADHD). Research has shown that psychostimulants, used to treat ADHD are effective for 75-90% of children (US Department of Health and Human Services, 2001), however children do not take their medication from 20-65% of the time. A qualitative study using a type of grounded theory, dimensional analysis (Schatzman, 1991), was conducted to study the experiences of fourteen parents whose children began medication treatment between the ages of 5 and 12. Semi stuctured, audiotaped …
Families Moving Forward: Homeless Women With Children Transitioning To Independent Living, Kristin Elizabeth Hoyt Phd
Families Moving Forward: Homeless Women With Children Transitioning To Independent Living, Kristin Elizabeth Hoyt Phd
Dissertations
Family homelessness is one of the most profound and disturbing social problems of the 21st century and is projected to remain an ongoing issue for the United States in upcoming years. The fastest growing segment in the homeless population continues to be families, specifically single women with children. One intervention to the problem of homeless women with children is by providing them with transitional housing, a step beyond the familiar short-term emergency shelter. Transitional housing typically shelters families for up to 2 years. During this extended stay, women participate in programs designed to assist them with addiction, mental health, domestic …
Transition To Nursing Home Of Korean-American Elders, Myungja Kim Hahm Phd
Transition To Nursing Home Of Korean-American Elders, Myungja Kim Hahm Phd
Dissertations
The purpose of this study was to explore factors affecting Korean-American (KA) elders during the transition to nursing homes in the first month following admission. The three aims of this proposed study were (1) to explore culture specific factors that affect KA elders' perspectives during the transitional period to a nursing home, (2) to identify thoughts and feelings of KA elders about their admission into a nursing home, (3) to describe the adjustment process associated with admission to a nursing home. A grounded theory design was utilized to explore KA elders' perceptions/experiences associated with adjustment to a nursing home. Open-ended, …
The Lived Experience Of Wives And Husbands With Coronary Heart Disease, Patricia A. Bradley Phd
The Lived Experience Of Wives And Husbands With Coronary Heart Disease, Patricia A. Bradley Phd
Dissertations
The purpose of this feminist hermeneutic study was to discover the meaning of living in the community with a husband who has coronary heart disease (CHD). Ten women, aged 47-74 who were married from 4 to 55 years, participated in unstructured face to face interviews. The women were interviewed 6 to 18 months after their husbands were diagnosed with medically or surgically treated CHD. Audio recorded transcribed interview data were analyzed to identify the essential themes and sub-themes. Texts were interpreted guided by hermeneutic phenomenology (Gadamer 1960/1989; 1976) and van Manen's (1990) research activities. A feminist lens was applied to …
Psychometric Testing Of The Walker's Feelings And Thoughts About Weight Scale In Taiwan, Shu-Wen Chang Phd
Psychometric Testing Of The Walker's Feelings And Thoughts About Weight Scale In Taiwan, Shu-Wen Chang Phd
Dissertations
Background: The majority of women do not return to their pre-pregnant weight after six weeks postpartum in Taiwan. Excessive postpartum weight retention or gain can lead to long-term obesity and increase a woman's risk of major health problems. Trends among Taiwanese women reveal an increasing prevalence of obesity. Limiting postpartum weight retention is important for preventing long-term obesity development. Objectives: The purpose of this study was to examine predictors of postpartum weight gain among Taiwanese women using the modified Thriving Model (Walker & Kim, 2002) as the guiding conceptual framework and to examine the psychometric properties of a Chinese Version …
Navy Nurses' Experiences During Operation Unified Assistance Aboard The Usns Mercy: A Grounded Theory Study, Angelica L.C. Almonte Phd
Navy Nurses' Experiences During Operation Unified Assistance Aboard The Usns Mercy: A Grounded Theory Study, Angelica L.C. Almonte Phd
Dissertations
On December 26, 2004, the most powerful earthquake in 40 years erupted under the Indian Ocean triggering a deadly tsunami that devastated 11 Asian and African countries and killed more than 280,000. The US Navy responded through Operation Unified Assistance (OUA). In a historic first on the hospital ship USNS MERCY, the U.S. Navy deployed one team with members from the Navy, the U.S Public Health Service, a non-government organization (NGO), and a civilian mariner crew to provide humanitarian aid. Despite these efforts, there is a dearth of scholarly research work published on nurses' experiences during the disaster. The purpose …
Symptom Burden At End Of Life In Patients With Terminal And Life-Threatening Illness In Intensive Care Units, Peggy G. Kalowes Phd, Msn, Rn, Cns
Symptom Burden At End Of Life In Patients With Terminal And Life-Threatening Illness In Intensive Care Units, Peggy G. Kalowes Phd, Msn, Rn, Cns
Dissertations
The purpose of this study was to examine the symptom burden and severity of symptom distress reported by ICU patients at high-risk for death and to compare patient-rated symptoms and distress for concordance with symptoms reported by a family member. A prospective, correlational design with two data-points was used to study a convenience sample of 80 patients and 53 family members. The Condensed Memorial Symptom Assessment Scale (CMSAS) was used to gain patient/proxy report of symptoms on the first and third day after admission to the ICU. The majority of patients were symptomatic (98%), reporting an average of 10.23 symptoms. …
A Composite Cognition Instrument For Nursing Care Of Combat Casualties, Patricia Frohock Hanes Phd, Msn, Maed, Rn
A Composite Cognition Instrument For Nursing Care Of Combat Casualties, Patricia Frohock Hanes Phd, Msn, Maed, Rn
Dissertations
In the course of caring for military and civilian combat casualties, military nurses must make rapid, accurate decisions. When developing methods to teach nurses essential content for combat casualty care, it is important to understand the cognitive and learning processes involved in acquiring that knowledge. Measures to examine how military nurses think and learn have significance, especially when applied to the high-stress, high-stakes practice arena of combat causality care. Use of these measures in evaluating educational strategies will help answer the need for better deployment readiness for military nurses. The purpose of this study is to develop an instrument to …
The Relationship Between Nurse Manager Leadership Attributes And Nurse Clinical Autonomy: Magnet Versus Non-Magnet Hospitals, Catherine A. Verkaaik Phd
The Relationship Between Nurse Manager Leadership Attributes And Nurse Clinical Autonomy: Magnet Versus Non-Magnet Hospitals, Catherine A. Verkaaik Phd
Dissertations
Purpose: This research evaluated relationships among hospital types (Magnet versus non-Magnet), nurse manger leadership attributes, and staff registered nurse autonomy. Hypothesis: Magnet hospital status would be related to positive nurse manager leadership attributes which would be related to greater clinical nurse autonomy and nurse manager leadership would mediate relationships between hospital status and clinical nurse autonomy. Conceptual Basis and Background: Structural Contingency Theory modified in the Nursing Systems Outcomes Research model was the research model for conceptualizing the structure-environment-effectiveness relationship. Critical Social Theory (CST) provided the conceptual/motivational basis for this study, a lens through which to frame the question. Clinical …
African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd
African American Father-Child Reproductive Health Communication, Nnenna Ohalete Phd
Dissertations
African-American children have their sexual debut (first voluntary penile-vaginal penetration) earlier thus are at disproportionately greater risk for more sexual partners and sexually transmitted infections. Father-child reproductive health communication was found to influence the timing of sex in other children however, a dearth of studies in African-American fathers existed. In this qualitative study reproductive health communication was explored in tape-recorded interviews of 19 African-American fathers from the perspective of critical theory, with the use of critical ethnography as methodology. How the content and pattern of reproductive health communication influenced sexual debut, and how fathers' moral/ethical stances influenced reproductive health communication …
Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd
Beholding The Beauty Of Self: The Psychological Integration Of The Afrocentric-Self Among African-American Females Socialized In A Eurocentric Aesthetic, Donna Lynn Cook Phd
Dissertations
Self-esteem and body image disturbances prominently figure into many physical and psychological health disorders such as depression, eating disorders, anxiety disorders, and chemical dependency. In Euro-American culture, media images of femininity and physical attractiveness reinforce generally held perceptions of the idealized female beauty as tall, white, slender, and often blond and blue eyed. The physical morphology of African-American women does not genetically "fit" this westernized standard of beauty with implications for their mental health. The socialization of African-American women in a culture that embraces a different ethnic standard of beauty influences their perceptions of how physically attractive they see themselves. …
What Are They Saying: Voices From The Inner City? Lived Experience Of Inner City African American Adolescents With Asthma, Othello Childress Phd
What Are They Saying: Voices From The Inner City? Lived Experience Of Inner City African American Adolescents With Asthma, Othello Childress Phd
Dissertations
The purpose of this study was to investigate the lived experience of African-American adolescents with asthma who reside in an inner city community. The research in this area of interest is sparse, yet the morbidity and mortality rates related to asthma within the African-American population are greater than the general population. This study offers the experience of living with asthma from the perspective of the young African-American adolescent. Using phenomenological methodology, the nurse researcher selected 13 African-American adolescents; aged 12 to 15, who reside and attend middle school in the inner city. All of the participants had a confirmed medical …
Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd
Defining Health And Health-Related Behaviors Following A Near-Death Experience, Suzanne C. Robertson Phd
Dissertations
While broad categories of health and influences on definitions of health have been identified, the process through which adults define and re-define health has not been researched. The purpose of this study was to investigate the process of defining health and appropriate health-related behaviors following a near-death experience (NDE) as an adult and to articulate a grounded theory of decision-making. Five men and 15 women from the United States and United Kingdom were interviewed and the data were analyzed using the constant comparative method. The basic social process was I Still Had to Go Through the Process of Understanding. Understanding …
The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd
The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd
Dissertations
Coronary artery bypass grafting surgery (CABG) is a stressful event and requires coping strategies to achieve adaptation. In Taiwan, despite the fact that the incidence of CABG is increasing in both men and women, research on post-CABG adaptation is very limited and no research focuses on outcomes for women. This can lead to problems for health care providers who lack effective interventions to help these patients. The purpose of the study was to examine the relationship between coping, anxiety, and quality of life in Taiwanese post-CABG patients. A cross-sectional correlational design was used; the sample consisted of 50 female and …
Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd
Nurse Practitioner Adoption Of Clinical Innovations, Rhoberta Jones Haley Phd
Dissertations
Adoption of clinical innovations by Nurse Practitioners (NP) is a complex phenomenon, rooted in personal values and influenced by challenges within health care environments. When clinical innovations are adopted or rejected by NPs, this decision has meaning for patients, NPs, health care agencies, and society. The decision controls the opportunity for patients to access a clinical innovation that could reduce morbidity and mortality, save money, and provide satisfaction related to the health care encounter. The purpose of the study was to increase knowledge about NP adoption of clinical innovations, particularly emotionally-laden clinical innovations. The lines of inquiry focused on what …
A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd
A Retrospective Evaluation Of The Planetree Patient Centered Model Of Care Program's Impact On Inpatient Quality Outcomes, Susan Stone Phd
Dissertations
This retrospective quasi experimental study evaluated the effectiveness of Planetree's patient-centered model of care. Donabedian's model linking structure and process to outcome was used to frame this study. The structure variable is the inpatient acute care hospital unit and the process variable consists of the Planetree patient-centered model of care. Outcomes are (1) patient satisfaction, (2) length of stay, (3) readmission, (4) cost per case, and (5) productive nursing hours per patient day. All data for patient satisfaction, length of stay, readmission, cost per case and productive nurse hours per patient day were retrospective, no participant recruitment was needed. Data …
Healthcare Encounters Of Formerly Incarcerated Women: A Grounded Theory Study, Karen Sue Hoyt Phd
Healthcare Encounters Of Formerly Incarcerated Women: A Grounded Theory Study, Karen Sue Hoyt Phd
Dissertations
The adult correctional population in the United States soared to nearly 7 million people (Bureau of Justice Statistics [BJS], 2005). Over 2 million individuals were housed in prisons or jails in the United States. Nearly 7 percent (6.9%) were women (BJS, 2005). Recent trends in the adult correctional population suggest that there has been a stark increase in the number of formerly incarcerated women in the United States. The purpose of this research was to explore how formerly incarcerated women perceived their healthcare encounters. The aims of this study were to answer the following questions. How did formerly incarcerated women …